The hydatid cyst is a worldwide anthropozoonosis, which constitutes a health issue in Northern Africa. It may involve any organ, but it mostly affects the liver. This often asymptomatic disease can lead to multiple complications. Among them, spontaneous fistulization of a hepatic hydatid cyst in the stomach is exceptional even in endemic countries. We report the case of a 38-year-old female with febrile biliary colics due to a hydatid cyst of the liver fistulized in the stomach. The diagnosis was established based upon different clinical, biological and mainly radiological features. She received surgical treatment with satisfactory postoperative outcome.

Psoas abscess is a rare disease with various etiologies. The most common pathogen in primary abscess is Staphylo coccus aureus. Crohns disease is the most common cause of secondary abscess. Mycobacterium tuberculosis is considered an extremely rare cause of psoas abscess, The clinical manifestation is insidious, the classic symptoms are pain and fever. Computed tomography (CT) is the gold standard in the diagnosis and follow-up of retroperitoneal abscesses. The treatment of choice is percutaneous drainage guided by imagery. Surgical drainage should be reserved for cases of failure of percutaneous drainage, if possible via the extraperitoneal route, but in the event of a secondary abscess, the transperitoneal approach is preferred to correct the original disease.

Hepatic hemangiomas are the most common benign tumors of the liver and are often asymptomatic, diagnosed incidentally. They are considered giant when they exceed 5 cm at their largest diameter. Giant hepatic hemangiomas are rare. Diagnosis is essentially based on imaging (CT, MRI). Spontaneous or traumatic rupture, intratumor hemorrhage, rapid growth, diagnostic uncertainty and coagulopathy are the main indications for surgery. We present the case of a 53-year-old woman with two hepatic hemangiomas, the largest of which occupies the entire left lobe and measures 17 cm in diameter. It is not known how long the tumor had been growing. She underwent surgical management due to obvious mass effect.