Hepatic Hydatid Cyst Suspected on Abdominal Ultrasonography in a Patient from Kazakhstan: A Case Report

We report a case of hepatic hydatid cyst in a 38-year-old woman from Kazakhstan who was referred to our hepatology clinic after detection of a large hepatic cystic lesion. She presented with persistent abdominal discomfort. Ultrasonography revealed an approximately 10-cm cystic lesion involving hepatic segments 4, 7, and 8, with heterogeneous avascular internal contents and folded degenerative cyst layers producing a characteristic “ball of wool” or cerebroid appearance, most compatible with a CE4 cyst. Contrast-enhanced computed tomography showed a unilocular hypodense cystic lesion at the right hepatic dome with internal high-attenuation material and partial wall calcification. The patient underwent open segmentectomy because of the large symptomatic lesion with multisegmental involvement, and histopathology confirmed hepatic hydatid cyst. This case emphasizes that country of origin and travel history, together with careful ultrasonographic staging, are essential when evaluating cystic hepatic lesions.