Isolated hydatid cyst of the diaphragm, a case report.

INTRODUCTION

Hydatid disease mainly affect lung and liver. We report a very rare case of hydatid cyst of the diaphragm.

PATIENT INFORMATION: A 25-year-old female presented with vague right hypochondrial pain for 2 months. Clinical Findings showed mild tenderness at right hypochondrial region, Ultrasound showed segment 7 hepatic cystic lesion of about 5×6×7 centimeters, relatively thick wall, with eccentrically coarse calcification. Computed tomography showed cystic lesion affecting segment 7 of the liver with rims of calcification, appearance is consistent with hydatid cyst of the liver. At laparascopy the liver was found to be normal with a bulging from the lateral border of the diaphragm. Postero-lateral mini-thoracotomy was performed and cyst was found to be inside. Resection was done with direct repair of the diaphragm. The histopathogical examination confirmed hydatid cyst of the diaphragm.

CONCLUSION

Isolated hydatid cyst of the diaphragm is a very rare entity. Pre-operative diagnosis is mandatory to prevent unnecessary excessive incisions.