Multiple hepatic and peritoneal hydatic cysts

We present the case of a 47 old man who suffered in 1989 a pancreatic resection for the rupture of a pancreatic hydatic cyst, with consecutive peritonitis. He was treated for many years with Albendazole, but ultrasound survey revealed new hepatic cysts, and lab tests defined secondary diabetes mellitus. In December 2007 the patient came to the ER, complaining of intense abdominal pain, in the right upper quadrant, right lumbar pain and in the right shoulder, nausea and wasting. He had no fever, his skin was normal coloured, HR 80/min, BP 120/70mmHg, had a normal pulmonary exam, abdominal palpation was painful in…