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An imported case of hepatic unilocular hydatid disease
Jong-Yil Chai,*1Min Seo,1Kyung-Suk Suh,2 and Soon-Hyung Lee1
1Department of Parasitology and Institute of Endemic Diseases, Seoul National University College of Medicine, Seoul 110-799, Korea.
2Department of General Surgery, Seoul National University College of Medicine, Seoul 110-799, Korea.
Received May 22, 1995; Accepted May 31, 1995.
Abstract
A 38-year old man visited a private clinic complaining of epigastric discomfort for 2 months. A huge hepatic cyst was found by sonography and computerized tomography. An exploratory laparotomy was performed under the impression of hydatid disease. The cyst was successfully removed. A lot of living protoscolices of Echinococcus granulosus were found from the cystic fluid under light microscopy. During the operation, however, the cyst was accidentally ruptured and the cystic fluid spilled out. The patient was medicated with albendazole, and had been well without any signs of anaphylaxis or recurrence for 1 year follow-up period. He had been in Saudi Arabia for 3 years. This is the 16th case of hydatid disease reported in Korea and a case without immediate complication in spite of rupture of the cyst.
Figures
Figs. 1-6 Fig. 1. Ultrasonographic finding of the liver showing a huge cystic mass. Near the upper portion located a daughter cyst (arrow). Before operation. Fig. 2. Abdominal CT showing a well demarcated cystic mass (C) in the right lobe of the liver. A small portion of the wall has been calcified (arrow). T12 level. Fig. 3. Operative finding of the hydatid cyst of the liver which shows whitish, glistening, and membranous external surface (arrow). Fig. 4. Resected hydatid cyst (11 cm × 11 cm × 10 cm). Daughter cysts ard also seen(arrow). Scale bar = 5 cm. Fig. 5. Inner surface of a cyst showing cauliflower-like calcified protuberances (arrow). Fig. 6. A protoscolex recovered from the cystic fluid having many hooklets (H) and calcareous corpuscles (arrows). Scale bar = 50 m.
Tables
Table 1 Results of serologic test for parasite-specific IgG antibodies by micro-ELISAa)
Table 2 Brief summary of 15 reported cases of hydatid disease in Korea
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