Hepatic hydatid disease presenting as secondary Budd-Chiari syndrome
| Autor: | Rakesh Anandarajan, Babu Philip, Sankar Neelakantan, Arul Arokia Sensan Babu |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Abdominal pain medicine.medical_specialty Asia Images In… Inferior vena cava Article 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Coarsened hepatic echotexture business.industry Indian Sub-Continent General Medicine Abdominal distension medicine.disease medicine.anatomical_structure Bare area of the liver medicine.vein Abdominal examination 51-70 Years Budd–Chiari syndrome Abdomen 030211 gastroenterology & hepatology Radiology medicine.symptom business |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2016-217118 |
| Popis: | A 51-year-old man presented with a history of vague abdominal pain and progressively increasing abdominal distension. Abdominal examination revealed hepatomegaly with a firm nodular liver palpable below the costal margin with mild tenderness in the right hypochondriac region. General examination revealed no pedal oedema, ascites or jaundice. No significant history or drug history was elicited. Imaging work up included a transabdominal ultrasound scan performed elsewhere which showed a multilocular cystic lesion in the right lobe of the liver with coarsened hepatic echotexture and surface nodularity. Serology was positive for hydatid disease. Contrast-enhanced CT scan (CECT) of the abdomen performed at our centre revealed a large multilocular cystic lesion in the right lobe of the liver with enhancing walls and daughter cysts within (figure 1), with extrahepatic extension into the gastrohepatic ligament and transdiaphragmatic extension into the middle mediastinum through the bare area of the liver (figure 2). The lesion was noted to cause extrinsic compression of the retrohepatic inferior vena cava (IVC) so that the right and middle hepatic veins were not visible (figures … |
| Databáze: | OpenAIRE |
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