title: Ascites as an initial presentation of spontaneously ruptured hydatid cyst.
abstract: We describe the diagnosis of a 77-year-old woman admitted to our outpatient department with a 3-month history of abdominal bloating and distension. Abdominal computed tomography revealed a large cystic lesion in the posterior segment of the right hepatic lobe, with a separated germinal layer and widespread ascites with dense internal echoes and septal appearance. The result of a serum Echinococcus indirect haemagglutination test was positive and findings were indicative of the spontaneous rupture of a hydatid cyst into the peritoneal cavity without trauma. Ascites is rarely seen in the course of hydatid disease, but can result from cyst rupture into the peritoneal cavity. This should be considered in the differential diagnosis of ascites, especially in areas such as Turkey, where hydatid disease in endemic.
authors: Department of Internal Medicine, Gaziantep University School of Medicine, Turkey. turkbeyler@mynet.com
authors: Ibrahim Halil
authors: IH
authors: Turkbeyler
authors: Taner
authors: T
authors: Babacan
authors: Ismail
authors: I
authors: Dilli
authors: Ayhan
authors: A
authors: Balkan
authors: M Sait
authors: MS
authors: Dag
authors: Abdurrahman
authors: A
authors: Kadayifçi
mesh_terms: D000368:Aged; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D001201:Ascites / Q000000981:diagnostic imaging / Q000469:parasitology*; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed
chemical_list: D000871:Anthelmintics; D015766:Albendazole