An unusual case of disseminated hydatid cyst of liver, spleen and urinary bladder


Article PDF :

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Article type :

Case Report

Author :

Jigna P Patel, Mansi D Rupani

Volume :

11

Issue :

4

Abstract :

Hydatid disease remains a prevalent health issue in regions where it is endemic, particularly in livestock-producing countries. When humans inadvertently swallow the ova, they get infested with Echinococcus. Infections in humans are typically contracted during childhood, and symptoms may appear five to twenty years later. The liver and lungs are frequently affected by the parasite, while the spleen and bladder are rarely affected. Only 4% of abdominal hydatid illnesses involve the spleen, and their incidence ranges from 0.5 to 4% globally. Urinary tract hydatid disease (HD) is extremely rare, making up approximately 2% to 4% of all cases. Both computed tomography (CT) and ultrasound are useful imaging techniques for identifying hydatid cysts. The lesion showed the characteristic "spoke-in-wheel" or "cyst within cyst" look. To avoid complications from cyst rupture following surgery, preoperative diagnosis is essential. Here, we discuss a 32-year-old man who had been experiencing progressive, non-radiating left hypochondrial pain for a year when he arrived at the emergency room. Following the required examination, a hydatid cyst of the bladder was identified, along with spleen and liver. The disease was managed by surgical evacuation, which was verified by histological analysis.

Keyword :

Cyst within cyst appearance, Hydatid cysts, Livestock-producing countries, Spoke in wheel appearance.