| A 78 year
old patient presented with continuous pain in
the right hypochondrium, with the appearance
of a palpable mass and spiking fevers of up to
40ºC.
In image 1 the tumour is seen located in the
last intercostal spaces, anterior axillary line.
It had a firm consistency and had bright red
coloring with a yellowish zone and central fluctuation.
In the center of the tumour was an area of punctiform
erosion (fistula orifice).
In image 2 a tumour is seen in the liver with
a low density and homogeneous content, well delineated
by a capsule and with calcification of the wall.
Swelling of the soft tissues is clearly seen,
with loss of separation between the muscular
planes and tumour infiltration of the skin with
subcutaneous weaving.
This was a case of a hydatid cyst with abscess,
fistulating to the skin through the subcutaneous
and muscular planes.
In the database of images of the web and among
the "images of the month" you will
find more information on hydatidosis.
Answer the autotest 
Authors:
Beatriz Amores Arriaga
Juan I Pérez Calvo
Servicio de Medicina Interna
Hospital Clínico Universitario
Translation: Kelly
Watt |
