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Feray Altun Çetin
Özel Sultan Hastanesi

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A rare Complication of a Hepatic Hydatid Cyst: Spontaneous Rupture into the Gastric Antrum

Hydatid Cyst Rupture into the Stomach
Articles > Radiology
Submitted : 17.11.2017
Accepted : 02.01.2018
Published: 30.01.2018

Abstract

Superficially located, large and viable cysts with high pressure are prone to rupture into body cavities such as the pleural space and peritoneal cavity, or they may drain into the biliary tract or the gastrointestinal system. The main diagnostic methods are ultrasound (US) and computed tomography (CT). Presentation is usually dramatic with acute abdominal signs, such as guarding, tenderness and rebound tenderness, are generally present. A thirty-six-old female admitted to our internal medicine clinic with continuous severe epigastric pain. On physical examination, diffuse tenderness and pain was noticed at the epigastric and right upper quadrant regions. The case, was interpreted as a ruptured liver hydatid cyst associated with closed perforation in antropyloric region of stomach.
Keywords: Hydatid cyst rupture , Gastric closed perforation

Özet

Superfisial olarak yerleşmiş, büyük ve canlı kistler, yüksek basınçla birlikte plevral aralık, peritoneal kavite gibi vücut boşluklarına, safra kanallarına veya sisteme boşalmaya eğilimlidirler. Başlıca tanısal metodlar ultrasonografi (US) ve komputerize tomografidir (CT). Olgular genellikle yüksek ateş, titreme, rebound, hassasiyet gibi akut abdominal bulgularla prezente olurlar. Otuz altı yaşında kadın hasta iç hastalıkları kliniğine sürekli olan şiddetli epigastrik ağrı şikâyeti ile başvurdu. Fizik muayenesinde epigastrik ve sağ üst kadranda yaygın ağrı ve hassasiyeti mevcuttu. Olgumuz, midenin antroplorik bölgesine rupture karaciğer kist hidatiğin kapalı perforasyonun eşlik ettiği ender vakalardan biridir.
Anahtar kelimeler: Hidatik kist rüptürü , Gastrik kapalı perforasyon
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