Publication:

Cystocutaneous fistula of the left lobe of liver: an extremely rare presentation of hydatid liver cyst

We report a case of spontaneous cutaneous fistula formation consequent to an infected hydatid cyst of the left lobe of the liver in a 25 year old female patient. This is a very rare natural presentation of the disease and owing to improved diagnosis and therapy, complications of the disease is also rare. Ultrasound of the abdomen revealed a cystic lesion on the left lobe containing multiple daughter cysts. The patient underwent partial pericystectomy and complete excision of the fistula. The importance of correct diagnosis and the requirement for fast and radical surgery for the complete excision of fistula and cyst evacuation in hydatid disese of the liver is stressed in this report.