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      Ascites as an initial presentation of spontaneously ruptured hydatid cyst

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          Abstract

          We describe the diagnosis of a 77-year-old woman admitted to 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.

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          Clinical presentations and surgical management of liver hydatidosis: our 20 year experience

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            Hydatid cyst: a rare cause of ascites

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              Author and article information

              Contributors
              Role: ND
              Role: ND
              Role: ND
              Role: ND
              Role: ND
              Role: ND
              Journal
              samj
              SAMJ: South African Medical Journal
              SAMJ, S. Afr. med. j.
              Health and Medical Publishing Group (Cape Town )
              2078-5135
              August 2012
              : 102
              : 8
              : 664
              Affiliations
              [1 ] University School of Medicine Croatia
              Article
              S0256-95742012000800018
              625c29cd-5b00-46c4-9f09-22ddb79e5b6c

              http://creativecommons.org/licenses/by/4.0/

              History
              Product

              SciELO South Africa

              Self URI (journal page): http://www.scielo.org.za/scielo.php?script=sci_serial&pid=0256-9574&lng=en
              Categories
              Health Care Sciences & Services
              Health Policy & Services
              Medical Ethics
              Medicine, General & Internal
              Medicine, Legal
              Medicine, Research & Experimental

              Social law,General medicine,Medicine,Internal medicine,Health & Social care,Public health

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