ArticleIDCases2025
Spontaneous exovesiculation of a hepatic hydatid cyst with an intact vesicle: A rare intraoperative finding.
Article in IDCases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Hydatid disease remains endemic in many regions, particularly in the Mediterranean basin. While hepatic involvement is common, spontaneous exovesiculation of a hydatid cyst with an intact daughter vesicle is exceptional. This phenomenon results from gradual detachment and extrusion of the germinal layer without rupture or spillage. Case presentation: A 46-year-old female with a known hepatic hydatid cyst diagnosed two years earlier by abdominal ultrasound (WHO CE2) presented to the emergency department with acute abdominal pain. She had neither undergone surgery nor received albendazole therapy, as she was lost to follow-up after the initial diagnosis. Emergency laparotomy revealed an intact exovesiculated daughter vesicle lying freely in the peritoneal cavity, corresponding to the same cyst previously identified. The vesicle was removed intact without rupture, and the postoperative course was uneventful. Discussion: Spontaneous exovesiculation of hepatic hydatid cysts represents a rare complication that can clinically mimic cyst rupture or secondary peritoneal hydatidosis. The mechanism is thought to involve progressive thinning of the pericyst and increased intracystic pressure, leading to extrusion of the intact endocyst into the peritoneal cavity. Recognition of this unusual event is crucial to avoid unnecessary extensive resections or contamination during surgery. Conclusion: Spontaneous exovesiculation with an intact vesicle is a rare but distinctive manifestation of hepatic hydatid disease. Awareness of this presentation and careful surgical handling are essential to ensure complete removal and prevent recurrence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.