A Rare Complication Of Hepatic Hydatid Cysts: Percutaneous Fistulization

Patients with hydatid cysts generally show an asymptomatic progress until they are randomly diagnosed or until they develop a complication.A The 80-year-old patient, who was being followed-up in the ICU of the neurology department because of hypoxic brain, was evaluated for a swelling in the epigastric area which was existent for a while. The patient’s physical examination revealed an exophytic mass lesion of about 5x6 cm on the epigastric area. During the surgery it was seen that the patient had an infected hydatid cyst originating from the left lobe of liver with percutaneous fistulization.The patient was discharged on post-op day 7 without any problems with 20 mg/ kg albendazole treatment. Consequently, it should be noted that hepatic hydatid cysts could give way to very rare complications like skin involvement and percutaneous fistulization even if they are on advanced stages.