{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:11:01Z","timestamp":1772169061618,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/f1000research.74012.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T00:00:00Z","timestamp":1637798400000}}],"reference-count":17,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T00:00:00Z","timestamp":1637798400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Clinical presentation of liver hydatidosis can vary from asymptomatic forms to lethal complications. We report herein a rare case of a 27-year-old male from a rural Tunisian region who presented with large-abundance haematemesis, haemodynamic instability, and marked biological data of hypersplenism. Endoscopy showed bleeding esophageal varicose veins that were ligated. Abdominal ultrasound concluded the presence of three type CE2 hydatic liver cysts causing portal cavernoma with signs of portal hypertension. Despite resuscitation, the patient died of massive rebleeding leading to haemorrhagic shock. Hepatic hydatid cyst should be considered as an indirect cause of gastrointestinal bleeding in endemic countries. Early abdominal ultrasound in varicose haemorrhage is essential in orienting the diagnosis.<\/ns3:p>","DOI":"10.12688\/f1000research.74012.2","type":"journal-article","created":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T07:45:11Z","timestamp":1637826311000},"page":"1097","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage."],"prefix":"10.12688","volume":"10","author":[{"given":"Alia","family":"Zouaghi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawel","family":"Bellil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9042-8945","authenticated-orcid":false,"given":"Khalaf","family":"Ben Abdallah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6732-6879","authenticated-orcid":false,"given":"Dhafer","family":"Hadded","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6355-1059","authenticated-orcid":false,"given":"Haithem","family":"Zaafouri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Cherif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anis","family":"Ben Maamer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2021,11,25]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S197-S202","DOI":"10.1016\/j.parint.2005.11.030","article-title":"Present situation of echinococcosis in the Middle East and Arabic North Africa.","volume":"55","author":"S Sadjjadi","year":"2006","journal-title":"Parasitol Inter."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1425-37","DOI":"10.3748\/wjg.v18.i13.1425","article-title":"Worldwide epidemiology of liver hydatidosis including the Mediterranean area.","volume":"18","author":"G Grosso","year":"2012","journal-title":"World J. 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Th\u00e8se, facult\u00e9 de m\u00e9decine de Tunis.","author":"Z Hafi","year":"1996"},{"key":"ref11","article-title":"Portal vein thrombosis.","author":"H Samant","year":"2021","journal-title":"StatPearls [Internet]."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"120-121","DOI":"10.1177\/014107689008300225","article-title":"Portal hypertension due to hydatid disease of the liver.","volume":"83","author":"J Papadimitriou","year":"1990","journal-title":"J. R. Soc. 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