Perforated hydatid cyst into peritoneum presented with urticaria: A case report

Abstract

ABSTRACT Hydatid cyst of liver is generally asymptomatic unless leading to complications. Spontaneously or trauma induced perforation of cyst into peritoneum is one of that complications. Rupture into the abdominal cavity may cause mild to fatal complications like abdominal pain, urticaria, anaphylaxis and sudden death. We present, herein, a case with abdominal pain and urticaria due to spontaneously hydatid cyst rupture into peritoneum. A 32 year-old woman admitted to the emergency room with abdominal pain and urticaria. Her symptoms had been started spontaneously. Ultrasonography and computed tomography showed cystic lesions in the liver and peritoneum with intraabdominal free fluid. She was treated surgically by partial cystectomy and omentopexy. Postoperative albendazol treatment was given for three months. No recurrence was observed throughout three months of postoperative follow-up period. Key words: Cyst hydatid, spontaneous rupture, urticaria, treatment