Department of Internal Medicine, Gaziantep University School of Medicine, Turkey.
S Afr Med J. 2012 Jun 28;102(8):664. doi: 10.7196/samj.5935.
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.
我们描述了一位 77 岁女性的诊断情况，她因 3 个月的腹胀和腹部膨隆病史而到我们的门诊部就诊。腹部计算机断层扫描显示右肝后段有一个大的囊性病变，有分隔的生发层和广泛的腹水，内部回声密集，呈分隔状。血清包虫间接血凝试验的结果为阳性，提示包虫囊肿自发性破裂进入腹腔，无外伤史。腹水在包虫病的病程中很少见，但可因囊肿破裂进入腹腔而引起。在腹水的鉴别诊断中应考虑到这一点，特别是在土耳其等包虫病流行的地区。
