Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 5, Number 4, August 2012, pages 139-143


Complications of Hydatid Cysts of the Liver: Spiral Computed Tomography Findings

Figures

Figure 1.
Figure 1. Transdiaphragmatic thoracic rupture. It is observed the calcified hydatid cyst wall (black arrow), daughter cysts (white arrow) and pleural effusion with presence of air.
Figure 2.
Figure 2. Rupture into biliary tract and subcapsular hepatic space. Change in architecture of the cyst, presence of fluid collection and daughter cysts in the subcapsular hepatic space (arrow) and dilatation of biliary radicles.

Table

Table 1. Characteristics of Patients
 
Patients
No1234567
Sex and AgeF 92M 70F 80F 63F 86M 65F 64
Known history of hydatid diseaseYesNoYesYesNoYesNo
Clinical featuresAcute right upper abdominal quadrant painAcute right upper abdominal quadrant pain; FeverDiffuse abdominal pain
Fever
Abdominal wall contraction
Rebound sensitivity
Diffuse abdominal pain
Right thoracic pain
Fever; Dyspnea
Acute right upper abdominal quadrant pain with lumbar radiationAcute right upper abdominal quadrant pain; FeverAcute right upper abdominal quadrant pain
Laboratory findingsEosinophilia
Increased amylase serum
Increased direct bilirubin serum
Eosinophilia
Increased direct bilirubin serum
Increased WBC countEosinophiliaMild leukocytosisleukocytosisIncreased direct bilirubin serum
TreatmentSurgerSurgerySurgerySurgerySurgerySurgerySurgery
OutcomeImprovementImprovementDeathImprovementImprovementImprovementImprovement