DOI: 10.36347/sjmcr.2015.v03i11.015

Pages: 1059-1065

We report a case of a fifty-year-old lady presenting with abdominal distension for 2 months associated with dull aching pain and intermittent fever. Contrast enhanced CT scan showed loculated fluid filled cystic swelling occupying whole abdomen up to pelvis in addition to another loculated cyst with intra-cystic debris in left hypochondrium (15 cm x 18 cm). Liver and lungs were found normal and small intestine found pushed to right. The enzyme-linked immune-absorbent assay (ELISA) for echinococcal antibodies came out positive. Exploratory laparotomy, evacuation of pus with membranes followed by peri cystectomy was done and adjuvant Albendazole therapy was added. Histopathology examination confirming it to be a hydatid cyst. The rarity of the diagnosis along with its mode and nature of presentation and absence of several characteristic features make this case an interesting one.