Images in paediatrics
Intrabiliary rupture of hydatid cyst demonstrated by magnetic resonance cholangiopancreatography
1 Department of Radiology, Shri Maharaja Hari Singh Hospital, Srinagar, India
2 Department of Pediatrics, Sheri Kashmir Institute of Medical Sciences Soura, Srinagar, India
Correspondence to:
Dr Suhil A Choh, House No.E-12, Coperative Colony, Pirbagh, Srinagar, India; suhilchoh@rediffmail.com
Accepted 28 January 2008
| The first 150 words of the full text of this article appear below. |
A 13-year-old girl presented with right hypochondriac pain associated with fever, rigors and chills. Physical examination was remarkable for mild icterus, pyrexia (high grade) and tender hepatomegaly. Laboratory investigations revealed leucocytosis with neutrophilia, elevated serum bilirubin levels, mild elevation of transaminase levels and marked elevation of alkaline phosphatase. Ultrasound examination of the abdomen revealed a large cyst in the right lobe of the liver with multiple peripheral daughter cysts, with a smaller left lobe cyst. Intrahepatic biliary radicals were grossly dilated with debris and few membrane fragments in the common hepatic duct; common bile duct (CBD) was not optimally visualised. As such, magnetic resonance imaging with magnetic resonance cholangiopancreatography of the patient was performed. A large hydatid cyst was seen in right lobe of the liver with multiple peripheral daughter cysts and a smaller cyst in left lobe of the liver. The intrahepatic biliary radicals were dilated with gross distention
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