PP 62. A Rare Cause of Acute Abdomen: Liver Hydatid Cyst Rupture

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U. Mehmet Meral, O. Hancerliogullari

18:22 - 18:28h at Lanchid Room

Categories: Hepatobiliary and Pancreatic Surgery, Poster Session

Session: Poster (P5) - Hepatobiliary & Pancreatic Surgery

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Background
We wanted to share our patient with hydatid cyst in the liver; who was in Albendazole treatment and was in operation list for this month, admitted with acute abdomen and anaphylaxia due to spontaneus perforation of cyst.

Material and Methods
21 year old man was admitted to the emergency department with abdominal pain, fatigue, palpitations and breathing difficulties. Examination of the abdomen was widely sensitive, rebound and rigidity was positive. Also hypotension, tachycardia and subfebrile fever was observed. In emergency ultrasound it was seen that there was a cyst at segment 7 of the liver, free fluids in subhepatic and right paracolic space.

Result
The patient was evaluated by the surgeon who had planned elective surgery for liver hydatic cyst. After the evaluation, the patient was taken to the operation room. After a midline incision cystotomy+ drainage+ unroofing and wide abdominal irrigation was performed. Patient was discharged without any complication.

Conclusion
Echinococcosis is a frequently seen disease in our country and lots of patients are unaware of cysts before it reaches large diameters. Cyst may perforate spontaneosly or traumatic becouse of its increased internal pressure. This situation is a rare cause of acute abdomen and the patients who was admitted to provincial hospital with abdominal pain and allergic reactions must be evaluated about perforated hydatic cyst rupture.