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Article Synopsis
  • Hydatid cyst disease is a parasitic infection caused by Echinococcus Granulosus, primarily affecting individuals in developing countries who have close contact with dogs.
  • The liver is the most commonly infected organ, and untreated cases can result in severe complications, including the rupture of cysts into bile ducts and hepatopulmonary fistula.
  • The text highlights a child's case illustrating these complications and stresses the critical need for early diagnosis and the radiologist's role in managing this disease.
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BACKGROUND Echinococcosis is a zoonosis caused by the echinococcus microorganism, a parasite with 6 described species in the literature, the main one in humans being Echinococcus granulosus. Transmission is via the fecal-oral route, with main hepatopulmonary involvement but with high risk of dissemination. Diagnosis is often incidental and patients present a wide range of non-specific symptoms, closely related to localization, size, and quantity of cysts.

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Hydatidosis is a parasitic disease caused by , a tapeworm that is endemic in certain parts of the world. We present a case of hepatopulmonary hydatidosis with diaphragm involvement and close contact with the suprahepatic inferior vena cava treated with radical surgery. We discuss therapeutical surgical options (approach and type of surgery).

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In the endemic countries, human cystic echinococcosis (CE) poses a serious medical and social problem. Because it most often affects the liver and lungs we aimed to define the proportion of cases with different organ localization, the diagnostic and therapeutic approaches in such cases, and the outcome of them. For a period 2010-2019, a total of 2863 cases of CE were registered in Bulgaria, of which 148 (5.

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