Case Report
Copyright ©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Nov 28, 2006; 12(44): 7210-7212
Published online Nov 28, 2006. doi: 10.3748/wjg.v12.i44.7210
Subcutaneous extension of a large diaphragmatic hydatid cyst
Athanasios Marinis, Georgios Fragulidis, Konstantinos Karapanos, Christos Konstantinidis, Paraskevas Brestas, John Vassiliou, Vassilios Smyrniotis
Athanasios Marinis, Georgios Fragulidis, Konstantinos Karapanos, Christos Konstantinidis, Paraskevas Brestas, John Vassiliou, Vassilios Smyrniotis, 2nd Department of Surgery, Areteion University Hospital, 76 Vassilisis Sofias avenue, 11528, Athens Medical School, Athens, Greece
Correspondence to: Vassilios Smyrniotis, MD, Associate Professor in Surgery, 22 Haniotou str, 15452, Athens, Greece. vsmyrniotis@hotmail.com
Telephone: +30-210-7286157 Fax: +30-210-7286128
Received: August 14, 2006
Revised: August 28, 2006
Accepted: October 6, 2006
Published online: November 28, 2006
Abstract

A 53-year-old male patient with a large hydatid cyst of the left hemidiaphragm and smaller secondary cysts located in the left thoracic cavity and upper left abdominal quadrant presented with two progressively enlarging lipoma-like masses in the left hypochondrium and under the left scapulae respectively. Total excision of all the cysts was performed through a bilateral subcostal incision, with the left hemidiaphragm near totally excised and replaced by a synthetic bilayer mesh.

Keywords: Hydatid cyst; Diaphragm; Mesh recon-struction; Intrathoracic cavity; Subcutaneous extension