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[Hepatic Hydatid Cyst: A Case Report].

Wan Chul Kim1, Jae Uk Shin1, Su Sin Jin1

  • 1Division of Gastroenterology, Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea.

The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|January 26, 2021
PubMed
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Hydatid cysts, caused by Echinococcus tapeworms, are rare in Korean immigrant workers. This case highlights the importance of considering hepatic hydatid cysts in patients from endemic areas for early diagnosis and treatment.

Area of Science:

  • Medical Parasitology
  • Hepatology
  • Infectious Diseases

Background:

  • Hydatid cysts result from Echinococcus larval tapeworm infestation.
  • The disease is endemic in developing countries and rarely documented in immigrant populations in Korea.

Observation:

  • A 27-year-old female foreign worker from Mongolia presented with persistent abdominal pain.
  • Clinical findings included peripheral blood eosinophilia and elevated liver enzymes.
  • Abdominal ultrasonography revealed a well-circumscribed, septated cystic mass in the liver.

Findings:

  • Surgical resection successfully removed the hepatic hydatid cyst.
  • The patient received a postoperative course of albendazole.
  • Recovery was uncomplicated, with low expected recurrence rates.
Keywords:
AlbendazoleEchinococcusEosinophiliaHydatid cyst

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Implications:

  • Hepatic hydatid cysts should be considered in the differential diagnosis of liver cystic lesions, especially in individuals from endemic regions.
  • Early diagnosis through imaging is crucial to prevent cyst rupture and associated complications.
  • Combined surgical resection and albendazole therapy are effective for treating hepatic hydatid cysts with low recurrence.