An extraordinary rare presentation of liver hydatidosis with
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Cystic echinococcosis is an endemic helminthic disease, caused by the infection of Echinoccocus granulosus metacestodes. This report presents the case of a 59?year?old female patient with hydatid liver disease, who underwent cystectomy. The extraordinary finding of scolices with the characteristic hooklets of about 20 ?m long was revealed during the microscopic analysis.

A 59?year?old Caucasian woman of Greek origin presented with a 2?month history of right upper quadrant abdominal pain. Physical examination revealed mild abdominal tenderness during deep upper quadrant palpation. Total leukocyte count was 6400 uL?1 with 1% eosinophils, and the positive serum antigen along with the imaging studies (Ultrasound, Computed Tomography) confirmed liver hydatidosis.

Albendazole was given 4 weeks prior to surgery. During laparotomy, the clear liquid fluid that filled the cyst and the multiple daughter cysts were excised from liver segment VI. An extremely interesting finding was noted during microscopic examination.

An extraordinary image, rarely seen nowadays in the Western world, of scolices with the characteristic hooklets of about 20 ?m long was observed. Albendazole was administered postoperatively according to the treatment protocol. The postoperative course was uneventful. After 9 months of follow?up, the patient is well with no clinical or radiological relapse.

Source: https://onlinelibrary.wiley.com/doi/full/10.1002/ccr3.3111?af=R
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