Pancreatitis as a complication of a hydatic liver cyst —A case report

A 56 year old patient who developed acute pancreatitis following intrabiliary rupture of a hydatic cyst of the liver is reported herein. Hepatic hydatic disease is a very rare cause of acute pancreatitis for which the surgical treatment consists of evacuation of the cyst material and biliary drainage. Cystoenteric drainage is not mandatory.     

Primary subcutaneous cyst hydatic disease in proximal thigh: an unusual localisation: a case report

Background  

Musculoskeletal hydatidosis is very rare and represents 1% – 5.4% of all cases of echinococcosis. On clinical basis, infection mimics a soft-tissue tumor, and the preoperative radiological diagnosis is very important to avoid biopsy.     

Subdiaphragmatic bronchogenic cyst in the left crus of diaphragm: report of a case

A 39-year-old man who had a subdiaphragmatic bronchogenic cyst in the left crus of diaphragm received surgical treatment. The cyst was located in the retroperitoneum just below the diaphragm and was adhered to the left crus of diaphragm and unconnected with any other structures. The surgically resected cyst was 50 x 25 x 22 mm diameter and the wall was thin and contained white turbid mucus. Histologically, the cyst consisted of ciliated epithelium, mucus glands, smooth muscle, cartilage and this evidence established the final diagnosis of bronchogenic cyst. The post operative course was uneventful and the patient was discharged 10 days after operation. This is the 4th reported case of a subdiaphragmatic bronchogenic cyst in the Japanese literature.     

Rupture of intrascrotal epidermoid cyst complicated by bacterial infection: a case report

A 63-year-old male visited our hospital with the chief complaint of right scrotal pain. The right scrotum was swollen to the size of a small egg, and its skin was reddish. The mass was palpable independent of the right testis and epididymis. We diagnosed an intrascrotal abscess. The pus spontaneously issued from the scrotal mass. Sequentially, the abscess was extracted under spinal anesthesia. Membrane-like tissue assumed as the abscess wall was removed. Histologically, the abscess wall was composed of epidermal structure with epidermal keratinization, and horny material was found inside the wall. In the scrotal epidermis overlying the abscess, infiltration of neutrophils, lymphocytes, and multinucleated giant cells were observed. Anaerobic bacteria were detected in the pus of the abscess. Consequently, we diagnosed this case as rupture of an intrascrotal epidermoid cyst complicated by bacterial infection.     

Isolated hydatid cyst of the diaphragm without liver or lung involvement: a case report

The most common targets of the echinococcus are the liver and the lung, but several organs can be affected by this disease. The isolated diaphragmatic location of the cyst, not associated with liver or lung, is very rare. The aim of this work is to report a case of hydatid cyst located in the abdominal side of the diaphragm and to review the literature. The diagnosis was fortuitous and at CT scan the cyst was apparently located on segment VII of the liver. During surgery, after dissection of the adherences with the liver, the cyst remained attached to the diaphragm. Thirty months after the resection, the patient is free of symptoms without any recurrence.     

Extraskeletal osteosarcoma of the pleura: a case report

We herein present an exceedingly rare case of pleural osteosarcoma that was surgically resected in an elderly patient. A 74-year-old man, complaining of a dry cough and breathlessness on effort, was found to have massive pleural effusion on a chest X-ray. The chest CT and MRI scans indicated a massive effusion and a pleural tumor encasing the left lower lung. The resected tumor was histologically an osteosarcoma, measuring 11.3 × 9.0 × 6.0 cm. Because there was no evidence of any other primary tumor, the diagnosis of extraskeletal osteosarcoma was appropriate.     

Rupture of the diaphragm during a power dive: Description of a new method of repair and case report

A case is reported of a middle-aged aviator who during a power dive ruptured the left diaphragm. Complete destruction of at least three-fourths of the organ occurred. Massive herniation of abdominal contents into the thorax took place.Reconstruction of the missing diaphragm was accomplished by a method which I believe to be original. For this purpose an enormous pedicled flap consisting of parietal pleura was employed.     

Rare sites of hydatic cyst

The aim of this case report is to underline that the hydratic disease is still a healthcare problem in our country. Moreover, the atypical site of the cyst, as shown in the report, is a rare event and sometimes, an intraoperative or histological finding. Difficulties could arise from the operative management, during the radical procedures, to preserve some anatomic important structures. Modern imagistic data will certainly improve the preoperative diagnosis.     

Pancreatitis as a complication of a hydatic liver cyst--a case report

A 56 year old patient who developed acute pancreatitis following intrabiliary rupture of a hydatic cyst of the liver is reported herein. Hepatic hydatic disease is a very rare cause of acute pancreatitis for which the surgical treatment consists of evacuation of the cyst material and biliary drainage. Cystoenteric drainage is not mandatory.     

Morphogenesis of hydatic cyst of the liver

The morphological features of 138 cysts of different size were studied in 107 patients with Echinococcosis of the liver aged 14-75 years (39 men and 68 women) in order to specify the morphogenesis of Echinococcus cyst. The content of 23 cysts looked like a jelly-like mass, in 10 of them there were scraps of degenerating chitin. In 26 cysts there were solitary daughter cysts, in 11 they were multiple. In 10 cysts there was a relatively large volume of turbid fluid. In 99 cases the content of the cyst was a colorless transparent fluid with the invariable chitin membrane. Enlargement of the fibrous capsule was noted in 17 cysts, in 2 cases the thickness achieved 15 mm. In two cysts the fibrous capsule was completely calcificated, solitary calcificates were noted in 7 cysts. An analysis of the state of different cysts enabled a scheme of morphogenesis of the hydatid cyst to be proposed. According to this scheme the viability of the cysts is divided into two consecutive phases, each of them can have the developed daughter cysts or not (Ia, Ib, IIa, IIb phases).     

Hydatid cyst of the diaphragm. Apropos of a case

We report a case of hydatid cyst of diaphragma in a 70 year-old male, who was admitted to hospital in emergency for right basithoracic pain, aggravated by cough and deep breathing. Laboratory tests were normal. Standard roentgenographs showed a right-sided subpulmonic opacity. Pleural aspiration fluid revealed hemorrhagic pleural effusion. Lung scintigraphy showed and hypoperfused area at the base. Abdominal echography evidenced an hepatic cyst referred to the diaphragma. Thoracoabdominal CT-scans indicated a calcium-loaded mass on the postero-lateral aspect of the right lobe of liver. Surgical exploration revealed an independent hepatic cyst localized in the latero-costal bundles of the diaphragma which was removed en masse.