Hydatid Cyst of the Liver complicated with a Fistula into the inferior Vena Cava

Hydatid disease remains a significant public health concern in endemic countries such as Tunisia. Among its rare but serious complications is the rupture of a liver hydatid cyst into the inferior vena cava (IVC), leading to a wide range of clinical presentations and outcomes. This article reports 2...

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Bibliographic Details
Main Authors: Souhaib Atri, Mahdi Hammami, Amine Sebai, Ahmed Ben Mahmoud, Dhouha Cherif, Youssef Chaker, Montassar Kacem
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325006764
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Summary:Hydatid disease remains a significant public health concern in endemic countries such as Tunisia. Among its rare but serious complications is the rupture of a liver hydatid cyst into the inferior vena cava (IVC), leading to a wide range of clinical presentations and outcomes. This article reports 2 illustrative cases. The first involves a 45-year-old patient with recurrent right hypochondria pain, where imaging revealed a 6 cm liver cyst near the IVC. Surgical management included cyst resection and kysto-caval fistula repair, followed by recovery from a postoperative infection. The second case describes a 60-year-old woman with comorbidities, presenting with dyspnea and pain, where imaging showed multiple thromboses and a hepatic cyst; she was successfully managed conservatively with anticoagulants and Albendazole. These cases underscore the importance of timely diagnosis and tailored treatment for this rare but potentially life-threatening condition.
ISSN:1930-0433