An Unusual Case of Disseminated Hydatid Cyst of Liver, Spleen and Urinary bladder

Authors: Jigna P. Patel, Jaina A. Shah, Mansi D. Rupani

DOI: 10.18231/j.ijmmtd.11948.1759746971

Keywords: Cyst within cyst appearance, Hydatid cysts, Livestock-producing countries, Spoke in wheel appearance

Abstract: Hydatid disease is a common health problem in endemic regions, particularly in livestock-producing countries. Humans acquire infestation of echinococcus by swallowing the ova accidentally. Infections in humans are typically contracted during childhood, and symptoms may appear five to twenty years later. The liver and lungs are frequently affected by the parasite, while the spleen and bladder are rarely affected. Only 4% of abdominal hydatid illnesses involve the spleen, and their incidence ranges from 0.5 to 4% globally. Urinary tract hydatid disease (HD) is extremely rare, making up approximately 2% to 4% of all cases. Both computed tomography (CT) and ultrasound are useful imaging techniques for identifying hydatid cysts. The lesion showed the characteristic "spoke-in-wheel" or "cyst within cyst" appearance . Preoperative diagnosis is crucial to prevent cyst rupture during surgery and subsequent complications. Here, we describe the case of a 32-year-old man who had been experiencing progressive, non-radiating left hypochondrial pain for a year when he arrived at the emergency room. Following the required examination, a hydatid cyst of the bladder was identified, along with spleen and liver. The disease was managed by surgical evacuation, which was verified by histological analysis.