A 24-year-old Israeli Arab male with a two-months history of weight loss, fever and right upper abdominal pain was found to have hepatosplenomegaly. Laboratory investigation showed iron deficiency anemia, an accelerated ESR and increased values of haptoglobin, polyclonal IgG and hepatic alkaline phosphatase. By computerized tomography the lesion appeared to be a single uncalcified cyst whereas sonar examination visualized a close reticular internal structure and radionuclide imaging did not give specific results. Angiography proved diagnostically valuable by demonstrating the mass to be non-vascular but with a vascular pericystic rim. At laparotomy a huge hydatid cyst was found to contain a multitude of daughter cysts and an unusual folding of thickened membranes, explaining the peculiar echostructure. After removal of the cyst, the laboratory disturbances progressively disappeared and the spleen returned to normal size.
|Number of pages||4|
|Journal||Medecine et Chirurgie Digestives|
|State||Published - 1985|