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Scholars Journal of Medical Case Reports | Volume-14 | Issue-03
Spontaneous Rupture of a Hepatic Hydatid Cyst with Expulsion of an Intact Germinative Membrane into the Peritoneal Cavity: A Case Report
Achraf Laiz, Ismail Sriri, Aymane Jbilou, Younes Aggouri, Said Ait Laalim
Published: March 30, 2026 | 18 18
Pages: 570-572
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Abstract
Hepatic hydatid cyst is a common disease in endemic areas and may be complicated by rupture, particularly into the peritoneal cavity. Intraperitoneal expulsion of a hepatic hydatid cyst with an intact germinative membrane is an exceptionally rare condition. We report the case of a 17-year-old female admitted for isolated hypogastric pain. Imaging revealed a ruptured HHC in segment IV and a 12 cm pelvic cystic mass. Surgery confirmed the migration of an intact germinative membrane from the liver to the pelvis. Conservative surgical treatment combined with extensive peritoneal lavage led to a favorable outcome.