tailieunhanh - báo cáo khoa học: "Hepatic cerebrospinal fluid pseudocyst mimicking hydatid liver disease: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Hepatic cerebrospinal fluid pseudocyst mimicking hydatid liver disease: a case report | Faraj et al. Journal of Medical Case Reports 2011 5 475 http content 5 1 475 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Hepatic cerebrospinal fluid pseudocyst mimicking hydatid liver disease a case report Walid Faraj Houssein Haidar Ahmad Deborah Mukherji and Mohamed Khalife Abstract Introduction An abdominal pseudocyst is a rare complication of a ventriculo-peritoneal shunt. Etiological factors include infection obstruction and dislodgement. This is the first report of a hepatic cerebrospinal fluid pseudocyst mimicking hydatid liver disease. Case presentation We report the case of an 18-year-old Caucasian male patient who presented with a hepatic pseudocyst secondary to a ventriculo-peritoneal shunt misdiagnosed as hydatid disease of the liver. Conclusion Hepatic pseudocysts a rare complication of a ventriculo-peritoneal shunt have similar clinical and radiological characteristics to those of hydatid liver disease. The formation of a pseudocyst should always be considered in patients with ventriculo-peritoneal shunts in situ. Introduction An abdominal pseudocyst is a rare complication of a ventriculo-peritoneal shunt. Such cysts may cause diagnostic problems in regions such as the Middle East where echinococcosis disease of the liver is endemic due to similarities in clinical presentation and radiological appearance. Case presentation An 18-year-old Caucasian male patient presented with a 10-day history of generalized tonic-clonic seizures. His past medical history included right ventriculo-peritoneal VP shunt insertion at two weeks of age for bacterial meningitis complicated by hydrocephalus. Four years prior to his current admission he had presented with abdominal pain and a computed tomography CT scan of his abdomen at that time was interpreted as being consistent with a right hepatic hydatid cyst 8x6 cm . Serology workup was negative for hydatid disease at the time of the CT scan however due to the characteristic .

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