Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]

Clinical presentation of liver hydatidosis can vary from asymptomatic forms to lethal complications. We report herein a rare case of a 27-year-old male from a rural Tunisian region who presented with large-abundance haematemesis, haemodynamic instability, and marked biological data of hypersplenism....

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Autores principales: Alia Zouaghi, Nawel Bellil, Khalaf Ben Abdallah, Dhafer Hadded, Haithem Zaafouri, Mona Cherif, Anis Ben Maamer
Formato: article
Lenguaje:EN
Publicado: F1000 Research Ltd 2021
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Acceso en línea:https://doaj.org/article/5bd3a3e9ae3541648a3ca37323b86e16
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spelling oai:doaj.org-article:5bd3a3e9ae3541648a3ca37323b86e162021-11-29T14:03:15ZCase Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]2046-140210.12688/f1000research.74012.2https://doaj.org/article/5bd3a3e9ae3541648a3ca37323b86e162021-11-01T00:00:00Zhttps://f1000research.com/articles/10-1097/v2https://doaj.org/toc/2046-1402Clinical presentation of liver hydatidosis can vary from asymptomatic forms to lethal complications. We report herein a rare case of a 27-year-old male from a rural Tunisian region who presented with large-abundance haematemesis, haemodynamic instability, and marked biological data of hypersplenism. Endoscopy showed bleeding esophageal varicose veins that were ligated. Abdominal ultrasound concluded the presence of three type CE2 hydatic liver cysts causing portal cavernoma with signs of portal hypertension. Despite resuscitation, the patient died of massive rebleeding leading to haemorrhagic shock. Hepatic hydatid cyst should be considered as an indirect cause of gastrointestinal bleeding in endemic countries. Early abdominal ultrasound in varicose haemorrhage is essential in orienting the diagnosis.Alia ZouaghiNawel BellilKhalaf Ben AbdallahDhafer HaddedHaithem ZaafouriMona CherifAnis Ben MaamerF1000 Research LtdarticleMedicineRScienceQENF1000Research, Vol 10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Alia Zouaghi
Nawel Bellil
Khalaf Ben Abdallah
Dhafer Hadded
Haithem Zaafouri
Mona Cherif
Anis Ben Maamer
Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]
description Clinical presentation of liver hydatidosis can vary from asymptomatic forms to lethal complications. We report herein a rare case of a 27-year-old male from a rural Tunisian region who presented with large-abundance haematemesis, haemodynamic instability, and marked biological data of hypersplenism. Endoscopy showed bleeding esophageal varicose veins that were ligated. Abdominal ultrasound concluded the presence of three type CE2 hydatic liver cysts causing portal cavernoma with signs of portal hypertension. Despite resuscitation, the patient died of massive rebleeding leading to haemorrhagic shock. Hepatic hydatid cyst should be considered as an indirect cause of gastrointestinal bleeding in endemic countries. Early abdominal ultrasound in varicose haemorrhage is essential in orienting the diagnosis.
format article
author Alia Zouaghi
Nawel Bellil
Khalaf Ben Abdallah
Dhafer Hadded
Haithem Zaafouri
Mona Cherif
Anis Ben Maamer
author_facet Alia Zouaghi
Nawel Bellil
Khalaf Ben Abdallah
Dhafer Hadded
Haithem Zaafouri
Mona Cherif
Anis Ben Maamer
author_sort Alia Zouaghi
title Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]
title_short Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]
title_full Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]
title_fullStr Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]
title_full_unstemmed Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]
title_sort case report: portal cavernoma related to multiple liver hydatidosis: a rare case of fatal cataclysmic haemorrhage. [version 2; peer review: 2 approved]
publisher F1000 Research Ltd
publishDate 2021
url https://doaj.org/article/5bd3a3e9ae3541648a3ca37323b86e16
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