Department of Surgery, Madda Walabu University, Goba, Ethiopia.
School of Health Sciences, Madda Walabu University, Goba, Luxembourg.
J Med Case Rep. 2024 Oct 7;18(1):464. doi: 10.1186/s13256-024-04772-0.
Hydatid disease is a zoonotic infection caused by the species Echinococcus that typically affects the liver. Most liver hydatid cysts are asymptomatic at first, but as the cyst grows larger, symptoms, such as compression effects, start to appear. Ultrasonography and computed tomography scans are the widely used diagnostic tools, and surgery is considered the mainstay of treatment.
We present an unusual case of a giant pedunculated hydatid cyst causing inferior vena cava syndrome in a 20-year-old male patient from the Oromo ethnic group from a rural area of the country. Abdominal ultrasound and computed tomography scan confirmed the diagnosis. Our patient underwent radical surgical resection of the cyst and had a good outcome.
Hydatid liver cyst diagnosis needs a high index of suspicion for echinococcal etiology when dealing with a giant liver cyst as it results in grave complications without any manifestations.
包虫病是一种由棘球蚴属物种引起的人畜共患感染病，通常影响肝脏。大多数肝包虫囊肿起初无症状，但随着囊肿的增大，开始出现压迫效应等症状。超声检查和计算机断层扫描是广泛使用的诊断工具，手术被认为是主要的治疗方法。
我们报告了一个不常见的病例，一名来自该国农村地区奥罗莫族的 20 岁男性患者，患有巨大带蒂包虫囊肿导致下腔静脉综合征。腹部超声和计算机断层扫描扫描确认了诊断。我们的患者接受了囊肿的根治性手术切除，结果良好。
在处理巨大的肝囊肿时，需要对包虫病的病因有高度的怀疑，因为它会导致严重的并发症而没有任何表现。
