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Disasters that develop in the liver due to hydatid cyst: a case report
Furkan Karahan1, Arif Atay1, Fatma H Dilek2
1Department of General Surgery.
Cirugia Y Cirujanos
|May 23, 2024
Summary
Hilar cavernous transformation, a rare condition involving collateral veins around the portal vein, can be caused by liver hydatid cysts. This case highlights a giant hydatid cyst compressing the portal vein, leading to thrombosis.
Area of Science:
- Hepatology
- Vascular Surgery
- Radiology
Background:
- Hilar cavernous transformation involves the development of collateral venous structures around the portal vein.
- Portal vein thrombosis (PVT) is an uncommon condition with diverse etiologies.
- PVT secondary to hepatic hydatid cysts is rarely documented.
Observation:
- A 24-year-old female presented with abdominal pain and swelling.
- Imaging revealed cholelithiasis (gallstones).
- Computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated portal vein thrombosis and hilar cavernous transformation.
Findings:
- The portal vein thrombosis and hilar cavernous transformation were attributed to compression by a giant hydatid cyst.
- The cyst was located in the lateral liver sector.
- This presentation underscores a rare cause of PVT and associated venous changes.
Implications:
- This case expands the known spectrum of complications associated with hepatic hydatid cysts.
- It emphasizes the importance of considering parasitic infections in the differential diagnosis of PVT.
- Accurate radiological diagnosis is crucial for managing complex cases of portal hypertension secondary to extrinsic compression.
