A 26 years old boy with abdominal pain and history of gastric cancer

 

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Doctor's Information

Name : Morteza
Family : Sanei Taheri
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree : Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : kimiya mohammadi

 

Case Section

Abdominal Imaging

 

Patient's Information

Gender : Male
Age : 26

 

Clinical Summary

A 26 years old boy with abdominal pain and history of gastric cancer refer for biopsy

 

Imaging Findings

Non-contrast abdominal CT Scan shows multiple large smooth-walled cystic lesions in the abdomen displacing the bowel.In aspiration yellowish fluid was drainage.

 

Differential Diagnosis

..............

 

Final Diagnosis

hydatid disease

 

Discussion (Related Text)

OHydatid disease is an endemic parasitic disease with world wide distribution.hunman is an accidental intermediate host due to ingestion of fertilized eggs. The larvae penetrate the intestine to enter the blood stream and lymphatics and travel to the liver, lungs and other organs .Juxtavesical and retrovesical location of the cyst are unusual, but location in the retro-peritoneum is especially rare. The vast majority of abdominal and pelvic cysts are considered to be secondary to prior hepatic localization followed by spontaneous fissuring or rupture. The primary cyst might then heal and even disappear, leaving behind a scar that could be overlooked by any diagnostic modality. Retrovesical and retroperitoneal hydatid cyst disease grows slowly over years and the patient presents with lump in the abdomen and symptoms due to compression of the adjacent structures, usually with chronic renal failure (CRF) due to bladder outlet obstruction. In computerized tomography(CT) Fluid density cyst, with frequent peripheral focal areas of calcification. Septation and daughter cysts may be visualised. Fluid is of variable density depending on the amount of proteinacous debris. May also show hyperdense internal septa representing a spoke wheel pattern within a cyst.

 

References

Angulo JC, Sanchez-Chapado M, Diego A, Escribano J, Tamayo JC, Martin L. Renal echinococcosis: Clinical study of 34 cases. J Urol 1997;157:787-94. Pubmed Pedrosa I, Saíz A, Arrazola J et-al. Hydatid disease: radiologic and pathologic features and complications. Radiographics. 20 (3): 795-817.pubmed

 

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