title: [Lethal rupture of an echinococcal cyst of the liver].
abstract: A 50-year-old man is admitted to the hospital emergency service because of a 24-hour history of right abdominal pain. Ultrasound examination and laboratory tests suggest the perforation of an Echinococcal cyst situated in the subcapsular area of the right hepatic lobe. The patient and his family refuse the recommended hospitalisation and operation and leave the hospital on their own responsibility. 60 hours later the patient dies. Post-mortem examination confirms the diagnosis of a perforated hydatid cyst of the right hepatic lobe. The cause of death was a partly fibrino-purulent, partly nodular peritonitis including the area of liver rupture.
authors.affiliation: Poliklinik für Innere Medizin Rijeka. robert.glavas@ri.tel.hr
authors.forename: N
authors.initials: N
authors.lastname: Ivanis
authors.forename: F
authors.initials: F
authors.lastname: Zeidler
authors.forename: M
authors.initials: M
authors.lastname: Sever-Prebilic
authors.forename: F
authors.initials: F
authors.lastname: Dobrila
authors.forename: I
authors.initials: I
authors.lastname: Pavlovic
authors.forename: B
authors.initials: B
authors.lastname: Budiselic
authors.forename: R
authors.initials: R
authors.lastname: Peric
mesh_terms: D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000000981:diagnostic imaging*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D016312:Treatment Refusal; D014463:Ultrasonography