title: [Parietal complications of hydatid cyst of the liver. Report of two cases in Tunisia].
abstract: The aim of this study is to consider the parietal complications of the hydatid cyst of the liver: the subcutaneous rupture of the cyst and spontaneous cutaneous fistula of liver hydatid cyst. 1(st) case: A 24-year-old woman, who underwent surgery 10 years ago for hydatid cyst of the liver, was admitted for a right hypochondrium mass and a fistula draining clear liquid containing cystic elements. Computed tomography (CT) showed a large cystic lesion in the subcutaneous tissue communicating with another cystic mass in the liver. The diagnosis of a cyst-cutaneous fistula due to a peritoneal hydatid cyst was established. The patient underwent surgical treatment and recovered uneventfully. 2(nd) case: A 40-year-old woman presented with a mass in her right hypochondrium. The diagnosis of subcutaneous rupture of a hydatid cyst of liver was established by ultrasonography and CT-scan. The patient underwent surgical treatment and recovered uneventfully. Parietal complications of hydatid cyst of the liver are extremely rare, clinical presentation can be derailing. The diagnosis is usually established by ultrasonography and CT-scan.
authors.affiliation: Service de chirurgie générale, hôpital Mohamed-Tahar-Maamouri, Nabeul, Tunisie. drbouassida@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Bouassida
authors.forename: S
authors.initials: S
authors.lastname: Sassi
authors.forename: M M
authors.initials: MM
authors.lastname: Mighri
authors.forename: A
authors.initials: A
authors.lastname: Laajili
authors.forename: F
authors.initials: F
authors.lastname: Chebbi
authors.forename: M F
authors.initials: MF
authors.lastname: Chtourou
authors.forename: K
authors.initials: K
authors.lastname: Bouzaidi
authors.forename: H
authors.initials: H
authors.lastname: Touinsi
authors.forename: S
authors.initials: S
authors.lastname: Sassi
mesh_terms: D034861:Abdominal Wall / Q000469:parasitology; D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D012422:Rupture, Spontaneous; D040521:Subcutaneous Tissue / Q000469:parasitology; D014416:Tunisia; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D000871:Anthelmintics; D015766:Albendazole