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Main Article Content
Ascites as an initial presentation of spontaneously ruptured hydatid cyst
Abstract
our outpatient department with a 3-month history of abdominal
bloating and distension. Abdominal computed tomography
revealed a large cystic lesion in the posterior segment of the right
hepatic lobe, with a separated germinal layer and widespread
ascites with dense internal echoes and septal appearance. The
result of a serum Echinococcus indirect haemagglutination test
was positive and findings were indicative of the spontaneous
rupture of a hydatid cyst into the peritoneal cavity without
trauma. Ascites is rarely seen in the course of hydatid disease,
but can result from cyst rupture into the peritoneal cavity. This
should be considered in the differential diagnosis of ascites,
especially in areas such as Turkey, where hydatid disease in
endemic.
