Isolated hydatid cyst of the diaphragm, a case report

Abdulwahid M Salih; F H Kakamad; Goran M Rauf

doi:10.1016/j.ijscr.2016.10.071

Isolated hydatid cyst of the diaphragm, a case report

Int J Surg Case Rep. 2016:29:130-132. doi: 10.1016/j.ijscr.2016.10.071. Epub 2016 Nov 10.

Authors

Abdulwahid M Salih¹, F H Kakamad², Goran M Rauf³

Affiliations

¹ Faculty of Medical Sciences, School of Medicine, Department Surgery, University of Sulaimani, François Mitterrand Street, Sulaymaniyah, Iraq.
² Faculty of Medical Sciences, School of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, François Mitterrand Street, Sulaymaniyah, Iraq. Electronic address: fahmi.hussein@univsul.edu.iq.
³ Sulimani Teaching Hospital, Department of Pathology, Sulaymaniyah, Iraq.

Abstract

Introduction: Hydatid disease mainly affect lung and liver. We report a very rare case of hydatid cyst of the diaphragm.

Patient information: A 25-year-old female presented with vague right hypochondrial pain for 2 months. Clinical Findings showed mild tenderness at right hypochondrial region, Ultrasound showed segment 7 hepatic cystic lesion of about 5×6×7 centimeters, relatively thick wall, with eccentrically coarse calcification. Computed tomography showed cystic lesion affecting segment 7 of the liver with rims of calcification, appearance is consistent with hydatid cyst of the liver. At laparascopy the liver was found to be normal with a bulging from the lateral border of the diaphragm. Postero-lateral mini-thoracotomy was performed and cyst was found to be inside. Resection was done with direct repair of the diaphragm. The histopathogical examination confirmed hydatid cyst of the diaphragm.

Conclusion: Isolated hydatid cyst of the diaphragm is a very rare entity. Pre-operative diagnosis is mandatory to prevent unnecessary excessive incisions.

Keywords: Abdominal pain; Diaphragm; Hydatid cyst.