Cases Journal


Open Access Case Report

Hepatic hydatid disease: four case reports

Attef M Elshazly1, Manar S Azab1, Samar N ElBeshbishi1 and Hany M Elsheikha2*

Author Affiliations

1 Department of Parasitology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt

2 The School of Veterinary Medicine and Science, The University of Nottingham, Sutton Bonington Campus, Loughborough, Leicestershire, LE12 5RD, UK

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Cases Journal 2009, 2:58 doi:10.1186/1757-1626-2-58

Published: 15 January 2009

Abstract

We report four cases who were referred to Mansoura University Teaching Hospital, Egypt suffering from abdominal pain and gastrointestinal manifestations. The patients' history was unremarkable, except that they had contact with dogs and live in rural communities. Laboratory findings showed peripheral blood eosinophilia, leucocytosis, and elevated liver enzymes. Serological tests were positive in three cases. Ultrasonography showed well-circumscribed cystic masses in the liver. Diagnosis of hydatid cysts was confirmed by computed tomography (CT). Surgical treatment along with chemotherapy was performed and all patients recovered well. The results of these cases support the notion that CT scan can led to increased clarity, regarding surgical management, because of discordance between radiographic and laboratory findings.