Abstract

Hydatid disease or echinococcosis is a wide spread zoonotic parasite caused by a tape worm Echinoco-ccus granulosus frequently. Liver is commonly involved but calcified hydatid cyst occurs in 10 – 16% of cases and calcified hydatid cyst causing gastric outlet obstruction is rare.

We are going to report such a rare case of calcified huge hydatid cyst of liver causing gastric outlet obstruction. A 55yr old women came to opd with complain of vomiting after small amount of meal for 15 days and swelling in right upper and mid abdomen for last 15 years. On examination a mass of size 12x7cm was visible in epigastrium and right hypogastrium. The swelling moved with respiration. On palpation liver is enlarged 9cm below right costal margin in the right mid clavicular line and a cystic swelling is palpable in relation to the liver 12x7-cm in dimension. Nontender. No other mass is palpable. Calcified hydatid cyst was diagnosed in left lobe of liver by ultrasound and CT Scan. Cystopericystectomy done. Post operatively patient recovered well. Huge Calcified hydatid cyst is very rare with gastric outlet obstruction. Surgery is the treatment of choice.

Keywords: Calcified hydatid cyst of liver, gastric  outlet obstruction.