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Primary Retroperitoneal Hydatid Cyst Ibrahim Guler, MD,* Hatice Y. Kivrak, MD and Ismet Tolu, MD *Department of Radiology, Selcuk University Faculty of Medicine, Konya, Turkey (E-mail: [email protected]) The authors have no financial or other conflicts of interest to disclose.

FIGURE 1

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CASE PRESENTATION

47-year-old male patient was admitted to our hospital with abdominal pain and abdominal mass on periumbilical region. There were no urologic and gastrointestinal symptoms. On physical examination, a mass was detected in the periumbilical region where mild tenderness was also found. Laboratory findings were normal. Contrast-enhanced abdominal tomography revealed a large retroperitoneal mass with multiloculation suggestive of hydatid cyst (Figure 1, star). The lesion compressed adjacent structures. The pancreas was placed anteriorly and the superior mesenteric artery laterally by the lesion (Figure 1, arrows). Computed tomography examination there were no other lesions on computed tomography examination. The patient was treated with surgery, and hydatid cyst diagnosis was verified with cytological examination.

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Hydatid cyst is caused by Echinococcus granulosus, and the disease is endemic in some regions. The disease mostly affects the liver and lung; other organ involvement is rarely seen. Retroperitoneal involvement with hydatid disease is very rarely seen, and the prevalence is reported less than 1%. The diagnosis is made with serologic and radiologic methods. Ultrasonography, computed tomography and magnetic resonance imaging are the modalities used in the diagnosis of hydatid disease.1,2 REFERENCES 1. Yang G, Wang X, Mao Y, et al. Case report of primary retroperitoneal hydatid cyst. Parasitol Int 2011;60:333–4. 2. Ozturk S, Unver M, Kibar Ozturk B, et al. Isolated retroperitoneal hydatid cyst invading splenic hilum. Case Rep Surg 2014;2014: 303401.

The American Journal of the Medical Sciences



Volume 350, Number 6, December 2015

Primary Retroperitoneal Hydatid Cyst.

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