Hepatic hydatid cyst ruptured from the transdiaphragmatic path to the pleural cavity

[摘要] A 40-year-old man was admitted to our emergency department complaining of weakness, pain in the right hemithorax, and shortness of breath. The patient’s medical history was unremarkable. Physical examination revealed tenderness in the upper right quadrant on palpation. Laboratory tests showed elevated white blood cells (16.5x10⁹ /L), aspartate aminotransferase (145 U/L), alanine aminotransferase (163 U/L), direct bilirubin (1.71 mg/dL), and total bilirubin (1.97 mg/dL). Abdominal ultrasonography (US) revealed a CE-3b type cystic lesion in the dome of the liver. Magnetic resonance cholangiopancreatography (MRCP) showed pleural effusion in the right hemithorax and membranous daughter cysts in addition to the findings noted in US (Figure 1). Posteroanterior radiography and thoracic computed tomography (CT) revealed consolidation and pleural effusion in the right inferior segment of the lung (Figure 2). Thoracic and general surgeons planned to perform surgery for the patient after antibiotic therapy (ceftriaxone 2 g/day and clarithromycin 500 mg/day) and albendazole (800 mg/day) treatment. Hydatid cyst ruptures can be spontaneous, iatrogenic, or traumatic.

[学科分类] 农业科学（综合）