Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jul 14, 2009; 15(26): 3309-3311
Published online Jul 14, 2009. doi: 10.3748/wjg.15.3309
Unexplainable development of a hydatid cyst
Antonio Di Cataldo, Rosalia Latino, Aldo Cocuzza, Giovanni Li Destri
Rosalia Latino, Aldo Cocuzza, Antonio Di Cataldo, Giovanni Li Destri, Department of Digestive and Colorectal Surgery, University of Catania, Via S.Sofia 84, 95100 Catania, Italy
Author contributions: Di Cataldo A, Latino R, Cocuzza A and Li Destri G contributed equally to this work; Di Cataldo A and Li Destri G designed the research; Latino R and Cocuzza A performed the research; Li Destri G and Latino R analyzed the data; Di Cataldo A and Cocuzza A wrote the paper.
Correspondence to: Antonio Di Cataldo, MD, Professor, FACS, Department of Digestive and Colorectal Surgery, University of Catania, Viale Odorico da Pordenone 5, 95128 Catania, Italy. dicataldoa@tiscali.it
Telephone: +39-95-501106
Fax: +39-95-3782231
Received: April 19, 2009
Revised: June 9, 2009
Accepted: June 16, 2009
Published online: July 14, 2009
Abstract

Echinococcosis is a cyclozoonosis characterized by cystic lesions usually situated inside or outside the liver. We discuss the case of a 77-year-old woman with a recurrent hydatidosis with a cyst arising from the liver, growing through the lateral right abdomen wall, and reaching the subcutaneous tissue of the lumbar region. In the literature, rare subcutaneous or muscular localizations of hydatid cysts are described, however, there is no mention of a cyst growing over the abdominal wall muscles, shaped like an hourglass, partially in the liver and partially in the subcutaneous tissue, as in our case. We have not found any pathogenetic explanation for this growth pattern which is not typical of the biological behaviour of a hydatid cyst.

Keywords: Echinococcosis, Growth, Hepatic, Hydatid cyst, Pathogenesis