Hydatid Disease of the Liver: Spontaneous Rupture of the Portal Vein Into the Cyst Wall (A Rare Complication)

A 60-year-old man was admitted with a complaint of pain in the right upper quadrant of the abdomen together with itching. He had neither jaundice nor fever. He had not developed an anaphylactic reaction. On physical examination, maculopapular lesions and urticaria were observed. Eosinophilia was not defined. ELISA testing for hydatid disease was positive. The results of serologic tests for Echinococcus (indirect hemagglutination inhibition test, more than 1500) were abnormal. Ultrasound (US) (Lit-8) revealed a total of four cysts in segment 3 (approximately 4 cm), segment 4 (approximately 5 cm), segment 5 (approximately 3.5 cm) and segment 8 (approximately 8 cm). In segment 4, calcification of the cyst wall was observed radiologically and a pericystectomy was performed. Similar size cysts wer