Atri Souhaib, Hammami Mahdi, Sebai Amine, Mahmoud Ahmed Ben, Cherif Dhouha, Chaker Youssef, Kacem Montassar
Department of General Surgery, Hopital la Rabta, Tunis, Tunisia.
Department of Gastroenterology, Hopital la Rabta, Tunis, Tunisia.
Radiol Case Rep. 2025 Jul 31;20(10):5258-5262. doi: 10.1016/j.radcr.2025.07.009. eCollection 2025 Oct.
Hydatid disease remains a significant public health concern in endemic countries such as Tunisia. Among its rare but serious complications is the rupture of a liver hydatid cyst into the inferior vena cava (IVC), leading to a wide range of clinical presentations and outcomes. This article reports 2 illustrative cases. The first involves a 45-year-old patient with recurrent right hypochondria pain, where imaging revealed a 6 cm liver cyst near the IVC. Surgical management included cyst resection and kysto-caval fistula repair, followed by recovery from a postoperative infection. The second case describes a 60-year-old woman with comorbidities, presenting with dyspnea and pain, where imaging showed multiple thromboses and a hepatic cyst; she was successfully managed conservatively with anticoagulants and Albendazole. These cases underscore the importance of timely diagnosis and tailored treatment for this rare but potentially life-threatening condition.
在突尼斯等流行国家，包虫病仍然是一个重大的公共卫生问题。其罕见但严重的并发症之一是肝包虫囊肿破裂进入下腔静脉（IVC），导致一系列临床表现和后果。本文报告2例说明性病例。第一例涉及一名45岁反复出现右季肋部疼痛的患者，影像学检查显示在IVC附近有一个6厘米的肝囊肿。手术治疗包括囊肿切除和囊肿-腔静脉瘘修复，随后术后感染痊愈。第二例描述了一名60岁患有多种合并症的女性，出现呼吸困难和疼痛，影像学检查显示有多处血栓形成和一个肝囊肿；她通过抗凝剂和阿苯达唑成功地进行了保守治疗。这些病例强调了对这种罕见但可能危及生命的疾病进行及时诊断和个性化治疗的重要性。
