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[Ruptured echinococcal cyst].

Åse Garløv Riis1, Mogens Jensenius2, Ole Jacob Greve3

  • 1Infeksjonsmedisinsk avdeling, Stavanger universitetssjukehus.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|August 21, 2024
PubMed
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Cystic echinococcosis, a parasitic zoonosis, rarely occurs in Norway but is a global health concern. Early consideration of this liver parasite is crucial for patients with unexplained cysts and relevant exposure history.

Area of Science:

  • Parasitology
  • Global Health
  • Medical Diagnostics

Background:

  • Cystic echinococcosis is a zoonotic disease caused by Echinococcus granulosus.
  • While rare in Norway, it remains a significant global health issue.
  • Increasing immigration necessitates awareness in low-prevalence regions.

Observation:

  • A middle-aged male presented with flank pain and a 10 cm liver cyst.
  • CT scans revealed a liver cyst suggestive of cystic echinococcosis, confirmed by serology.
  • The patient developed a cough, with scans showing cyst perforation into the lung.

Findings:

  • The liver cyst perforated through the diaphragm into the right lung.
  • Surgical intervention involved en bloc resection of liver segments, diaphragm, and lung tissue.

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Implications:

  • Healthcare professionals in low-prevalence areas must consider cystic echinococcosis in patients with unexplained liver cysts.
  • Prompt diagnosis and consideration of parasitic zoonoses are vital, especially with relevant exposure.
  • This case highlights the importance of vigilance for rare but serious infections in evolving demographics.