Abstract
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.
Highlights
Echinococcosis liver hydatidosis is endemic in the Maghreb countries.[1]
Compression or invasion of the hydatic cyst in the portal vein can lead to portal vein thrombosis or extrahepatic portal vein obstruction (EPVHO).[3]
This can rarely lead to cavernous transformation and portal hypertension explaining the origin of symptoms
Summary
Any reports and responses or comments on the article can be found at the end of the article. Changes consisted mainly in adding two more references in the introduction and discussion parts. Grammatical changes were made in some parts. Any further responses from the reviewers can be found at the end of the article
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