Focal Biliary System Obstruction and Atypical Liver Mass: Intrabiliary Ruptured Cyst Hydatid Case Report.
BACKGROUND
Hydatid disease can involve any part of the body, but the liver is the most frequently affected organ. Intrabiliary rupture is one of the most serious complications of a hepatic hydatid cyst. Radiological findings, especially magnetic resonance imaging and magnetic resonance cholangiopancreatography (MRI/MRCP), are helpful in the diagnosis of hydatid disease.


METHODS
We present a 48-year-old female patient with complaints of abdominal pain and jaundice. Radiological examination showed a heterogeneous lesion that contained cystic-solid components and millimetric calcifications in the liver. Adjacent intrahepatic bile ducts were dilated.


CONCLUSIONS
In geographical areas endemic for hydatid disease, cyst rapture into the bile ducts should be included in the differential diagnosis even in seronegative cases, although it is not typical for hydatid cyst to be found as a mass lesion in the liver on US in patients with right upper quadrant pain and jaundice.Detailed imaging by MRI/MRCP should be done.
Department of Radiology, Hitit University, Training and Research Hospital, Corum, Turkey.
Esra Ummuhan
EU
Mermi
Department of Radiology, Hitit University, Training and Research Hospital, Corum, Turkey.
Nurdan
N
Fidan
Department of Radiology, Hitit University, Training and Research Hospital, Corum, Turkey.
Muammer
M
Murat
Bile Ducts, Intrahepatic; Cholangiopancreatography, Magnetic Resonance; Echinococcosis, Hepatic; Jaundice