Les complications pariétales du kyste hydatique du foie. À propos de deux cas en Tunisie
Parietal complications of hydatid cyst of the liver. Report of two cases in Tunisia
Deux formes cliniques de complications pariétales du kyste hydatique du foie : ouverture du kyste dans la paroi abdominale et fistulisation du kyste dans la peau sont rapportées.
The aim of this study is to consider the parietal complications of the hydatid cyst of the liver: the subcutaneous rupture of the cyst and spontaneous cutaneous fistula of liver hydatid cyst. 1st case: A 24-year-old woman, who underwent surgery 10 years ago for hydatid cyst of the liver, was admitted for a right hypochondrium mass and a fistula draining clear liquid containing cystic elements. Computed tomography (CT) showed a large cystic lesion in the subcutaneous tissue communicating with another cystic mass in the liver. The diagnosis of a cyst-cutaneous fistula due to a peritoneal hydatid cyst was established. The patient underwent surgical treatment and recovered uneventfully. 2nd case: A 40-year-old woman presented with a mass in her right hypochondrium. The diagnosis of subcutaneous rupture of a hydatid cyst of liver was established by ultrasonography and CT-scan. The patient underwent surgical treatment and recovered uneventfully. Parietal complications of hydatid cyst of the liver are extremely rare, clinical presentation can be derailing. The diagnosis is usually established by ultrasonography and CT-scan.
M. BOUASSIDA, S. SASSI, M.M. MIGHRI, A. LAAJILI, F. CHEBBI, M.F. CHTOUROU, K. BOUZAIDI, H. TOUINSI
Reçu le 8 octobre 2011.
Accepté le 10 janvier 2012.
Kyste hydatique, Fistule, Complications pariétales, Chirurgie, Hôpital, Nabeul, Tunisie, Maghreb Afrique du Nord
Hydatid cyst, Fistulae, Parietal complications, Surgery, Hospital, Nabeul, Tunisia, Maghreb Northern Africa