Pedunculated giant hepatic hydatid cyst: Largest ever reported
A 60-year-old male patient presented with chronic distention of abdomen, loss of appetite, loss of weight, and disturbed bowel habits. Patient had moderate pallor and pedal edema. There was uniform distention of the abdomen from xiphisternum to symphysis pubis and hydatid thrill could be elicited [Figures and ]. Computed tomography scan revealed a pedunculated hydatid cyst arising from the left lobe of liver. The dimensions of the cyst were 45 × 35 × 20 cm. It occupied the whole peritoneal cavity, displacing the bowel loops posteriorly [Figures and ]. Review of English literature indicated that the largest hydatid cyst recorded earlier was of dimensions 37 × 14.88 × 15 cm.[] Case under review had a cyst larger than the largest reported.\nPartial cystectomy was performed. Precautions were taken to avoid peritoneal spillage. Sites of biliary communication were closed. Postoperatively, patient recovered well.