**5. Complications**

Frequently, there are complications secondary to the hepatic location of the cyst or by involvement of adjacent organs, in which case symptoms and signs of greater intensity will appear. Among them, the following should be mentioned:


• Rarely, cysts located adjacent to the retrohepatic vena cava can rupture and cause severe cardiorespiratory failure due to bilateral pulmonary arterial embolism with multiple pulmonar hydatid dissemination [48]. In that case, a CT angiography (CTA) is used to better diagnose this serious complication.
