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Affiliations
Michael S. Pitiakoudis
2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
Alexandra K. Tsaroucha
2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
Sauras Deftereos
Department of Radiology, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
Prodromos Laftsidis
2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
Panos Prassopoulos
Department of Radiology, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
Constantinos E. Simopoulos
2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
How to Cite
Primary Hydatid Disease in a Retroplaced Gallbladder
Abstract
A 60-year-old man with abdominal distension, fever, vomiting and pain on the right upper quadrant of the abdomen was admitted to our hospital. US revealed a well circumscribed lesion of mixed echogenicity. CT revealed hypoplasia of the right liver lobe, and a cystic mass with solid components replacing a retroplaced gallbladder. On T1-weighted MR images the lesion had low signal intensity and presented mild peripheral post-contrast enhancement, while on T2-weighted images the periphery was of moderately high signal intensity and the centre of fluid-like, high signal intensity. Adjacent liver parenchyma had relatively high signal intensity on T2-weighted images. The patient underwent exploratory laparotomy, and a hydatid cyst of the gallbladder that was inflamed was evidenced.