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Cytologic findings in aspirated hydatid fluid
P K Agarwal1, N Husain, B N Singh
1Department of Pathology, King George's Medical College, Lucknow, India.
Acta Cytologica
|September 1, 1989
Summary
Hydatid disease of the liver was diagnosed through accidental needle aspiration of a cyst. This diagnostic method, though leading to anaphylaxis, revealed Echinococcus parasites, confirming the diagnosis.
Area of Science:
- Hepatology
- Parasitology
- Diagnostic Cytopathology
Background:
- Hydatid disease, caused by Echinococcus granulosus, often affects the liver.
- Diagnosis can be challenging, especially in cases with non-specific symptoms.
- Liver abscesses are a differential diagnosis for hepatomegaly and abdominal pain.
Observation:
- A patient with unexplained symptoms underwent liver aspiration due to suspected amoebic abscess.
- Needle aspiration yielded turbid fluid and induced anaphylactic shock.
- Microscopic examination of the aspirate revealed diagnostic features of Echinococcus.
Findings:
- Cytologic smears of the aspirated fluid showed pathognomonic brood capsules, scolices, and hooklets.
- Histopathologic examination of surgically removed cysts confirmed echinococcosis.
- Accidental needle aspiration served as a crucial diagnostic step.
Implications:
- This case highlights needle aspiration as a potential diagnostic tool for liver hydatid disease.
- Prompt cytologic identification of Echinococcus is vital for appropriate management.
- Awareness of potential complications like anaphylaxis during aspiration is critical.