scholarly journals Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst

HPB Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Saba Behdad ◽  
Akbar Behdad ◽  
Samin Behdad ◽  
Mehrdad Hosseinpour
Keyword(s):  
Hydatid Cyst ◽  
Bile Leakage ◽  
Hepatic Necrosis ◽  
Liver Anatomy ◽  
Cyst Volume ◽  
Ultrasound Study ◽  
Residual Cavity ◽  
Intraabdominal Sepsis ◽  
Cyst Cavity

Objective. Although several therapeutic strategies have proven to be effective for hydatid cyst of liver, but surgery is still the most common therapy despite its morbidity and mortality. Furthermore, a variety of technique has been recommended for managing the residual cavity after cystectomy. We report here a new technical method for the reconstruction of hydatid cyst residual cavity with using overlapping flaps of liver edges (Vest over Pant). Methods. In this technique after removing the cyst, the edges of one side of cyst cavity were sutured to the base of the cavity using three to four mattress sutures), and edges of other side of liver was overlapped on the dorsal part of previous layer using four to five mattress sutures. Therefore residual cavity dead space was obliterated with two surfaces of cavity. Results. Fifty males were treated by our method. The average cyst volume was  mL. There was no intraabdominal sepsis, bile leakage, or hepatic necrosis. In follow-up ultrasound study, residual cavities were disappeared one month after operation. Conclusion. Overlapping flaps of liver edges (Vest over Pant) provides easy, safe closure of cyst with preservation of the liver anatomy.

scholarly journals A Case of Ruptured Pulmonary Hydatid Cyst of the Liver and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Nilufer Bulut ◽  
Sevinc Dagıstanlı
Keyword(s):  
Hydatid Cyst ◽  
Emergency Service ◽  
Elective Surgery ◽  
Wedge Resection ◽  
Bile Leakage ◽  
Southeast Europe ◽  
Surgical Methods ◽  
Pulmonary Hydatid Cyst ◽  
Cyst Rupture

Background. Hydatid cyst is an endemic disease frequently localized to the liver. It is frequently observed in Southeast Europe, Middle East, and Turkey. Although the cyst rupture can occur spontaneously, it can also occur upon albendazole treatment. Its surgical treatment includes cystotomy, capitonnage, and wedge resection. Material-Method. A 56-year-old male immigrant was admitted with fever, pain, and cough. Albendazole treatment was initiated and elective surgery was planned. Upon his admission to emergency service, he was diagnosed with pneumonia, and a spontaneous cyst rupture was detected. Result. Thoracotomy and cystotomy were performed. Bile leakage aspiration and lung wedge resection were also performed. Conclusion. Different surgical methods are used in the treatment of hydatid cysts depending on the localization and complications. Follow-up with antihelminthic drugs such as albendazole and mebendazole is recommended in medical treatment.

scholarly journals Modified Pair Technique for Treatment of Hydatid Cysts in the Spleen

2005 ◽  
Vol 5 (3) ◽  
pp. 74-78 ◽  
Author(s):  
Enver Zerem ◽  
Amir Nuhanović ◽  
Jasmin Caluk
Keyword(s):  
Hydatid Cyst ◽  
Hospital Stay ◽  
Hydatid Cysts ◽  
Single Session ◽  
Serologic Test ◽  
Initial Rise ◽  
Antibody Titres ◽  
The Mean ◽  
Cyst Cavity

The aim of this study was to evaluate the results of single-session sclerotherapy with mixture of alcohol and polidocanol and a subsequent injection of albendazole for devisceration of hydatid cysts in the spleen. Eight patients (four women and four men, average age 22.9±11.4 with hydatid cyst in the spleen were treated with 10 minutes time of exposure to mixture of ethanol 95% and polidocanol 1%. After that, 2 to 5 ml of albendazole was injected into the cyst cavity. Two patients had 2 cysts. At follow-up the patients were examined with clinical and biochemical examinations, ultrasonography, and serologic test for echinococcal antibody titres. The mean hospital stay was 2.5±0.93 days. During the follow-up period, mean cyst diameter decreased from 46±16.4 mm to 13.6±16.26 mm. In all ten cysts, a reduction of post procedural recolection of fluid over 40% was observed. Five cysts (50%) disappeared during the follow-up period. All cysts (5) smaller then 50 mm in diameter disappeared during follow-up period. After an initial rise, the echinococcal-an-tibody titres fell progressively and at the last follow-up were negative (< 1: 160) in 7 (88%) patients. No complications were observed, except for pain, fever and urticaria during the first 24-hours after the procedure. Sclerotherapy using only one session and 10 min time of exposure to the mixture of ethanol and polidocanol, and a subsequent injection of al-bendasole solution represents an effective treatment of hydatid cysts in the spleen. This procedure is even more efficacious for hydatid cyst with diametar smaller then 50mm.

scholarly journals Intraprostatic Hydatid Cyst: An Unusual Presentation

2006 ◽  
Vol 6 ◽  
pp. 2315-2318 ◽  
Author(s):  
Yassine Nouira ◽  
Mohamed Y. Binous ◽  
Kais Nouira ◽  
Amina Mekni ◽  
Yousri Kallel ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Stone Formation ◽  
Urinary Stones ◽  
Pathological Examination ◽  
Postoperative Course ◽  
First Case ◽  
Show Evidence ◽  
Cystic Cavity ◽  
Residual Cavity

A case of intraprostatic cyst is reported. The patient presented with a completely evacuated hydatid cyst of the prostate. The intraprostatic cystic cavity that was communicating with the urethra developed urinary stones. The patient had transurethral resection of the prostate, the stones in the cyst were pushed into the bladder and fragmented using a ballistic lithotripter. Pathological examination concluded to a prostatic hydatid cyst that had evacuated through the urethra and was complicated by stone formation within the residual cavity. Postoperative course was uneventful and follow-up did not show evidence of recurrence. This is the first case of hydatid cyst of the prostate to present as an intraprostatic stone pouch.

Non-Capitonnage Method for Surgical Treatment of Lung Hydatid Cysts

2005 ◽  
Vol 13 (1) ◽  
pp. 20-23 ◽  
Author(s):  
M Nesimi Eren ◽  
Akin E Balci ◽  
Şevval Eren
Keyword(s):  
Hydatid Cyst ◽  
Suture Material ◽  
Late Complication ◽  
Good Alternative ◽  
Significant Morbidity ◽  
Hydatid Cysts ◽  
Air Leak ◽  
Residual Cavity ◽  
Lung Hydatid

Capitonnage is usually advocated for obliteration of the residual cavity after removal of a hydatid cyst. To assess a non-capitonnage method, results in 33 patients were compared with those of 80 patients who had capitonnage. The non-capitonnage patients had a shorter mean hospital stay and earlier radiologic improvement but higher morbidity than the capitonnage patients. Extended air leak caused significant morbidity in each group. Bronchoscopic intervention was needed for atelectasis in 1 patient. There was no mortality in either group. In the follow-up period, no late complication or recurrence was observed in non-capitonnage patients. Among the capitonnage patients, 2 had bronchiectasis, and suture material expectoration occurred in one. The non-capitonnage method may be a good alternative to the capitonnage procedure for lung hydatid cyst. Better management of bronchial openings should improve the results of the non-capitonnage method.

scholarly journals Presentation and postoperative outcomes of residual cavity of liver hydatid cyst

2019 ◽  
Vol 6 (8) ◽  
pp. 2736
Author(s):  
Akram N. Dahel ◽  
Labeed Saadallah Abdulkareem
Keyword(s):  
Hydatid Cyst ◽  
Abdominal Ultrasound ◽  
Hydatid Cysts ◽  
Related Complication ◽  
Simple Closure ◽  
Liver Hydatid Cyst ◽  
Residual Cavity ◽  
Male Patients ◽  
A Prospective Study

Background: Hydatid disease is endemic in the Mediterranean region, the Middle East and South America. The aim of the study was to follow up the fate of residual liver hydatid cysts cavities after surgery.Methods: From the period of April 2014 to April 2017 a prospective study was conducted on sixty patients who were admitted to Fallujah Teaching Hospital for surgery of hydatid cyst of the liver. There were 36 female and 24 male patients who were followed up by serial abdominal ultrasound examinations at three monthly intervals for a period of up to two year.Results: Complete involution of the hydatid cavities occurs more in those treated by omentoplasty and simple closure and complications are lower than those treated by external drainage.Conclusions: Characteristics of liver hydatid cyst and the type of surgical treatment can be considered as a determinant of postoperative cavity related complication.

Healing of Carotid Stents: A Prospective Duplex Ultrasound Study

2003 ◽  
Vol 10 (3) ◽  
pp. 636-642 ◽  
Author(s):  
Andrea Willfort-Ehringer ◽  
Ramazanali Ahmadi ◽  
Michael E. Gschwandtner ◽  
Angelika Haumer ◽  
Gottfried Heinz ◽  
...  
Keyword(s):  
Carotid Arteries ◽  
Duplex Ultrasound ◽  
Stable Phase ◽  
Carotid Stent ◽  
Time Intervals ◽  
Unstable Phase ◽  
Ultrasound Study ◽  
Maximal Thickness ◽  
Second Year

Purpose: To study the dynamics of carotid stent healing over a 2-year period using duplex ultrasound imaging. Methods: One hundred twelve patients with 121 successfully stented carotid arteries were examined with color-coded duplex ultrasound the day after the stent procedure and at 1, 3, 6, 12, and 24 months in follow-up. The maximal thickness and echogenicity of the layer between the stent and the perfused lumen (SPL) were evaluated. Echogenicity was classified as echogenic if the SPL layer was clearly detected in B mode and echolucent if the SPL layer was barely visible in B mode, its border defined by assistance of color-coded flow. Results: At day 1, an echolucent SPL layer with a median thickness of 0.7 mm was interpreted as a thrombotic layer, which decreased at 1 month to practically zero (i.e., not detectable). In follow-up, increases in thickness (mainly up to 6 months) and echogenicity (up to 12 months) of the SPL layer were interpreted as neointimal ingrowth. At 3, 6, and 12 months, the median maximal thickness of the SPL layer was 0.5 mm, 0.9 mm, and 1.0 mm, respectively, whereas the percentage of patients with an echogenic SPL layer was 27% (32/119), 56% (66/117), and 95% (105/110), respectively, at the same time intervals. No further change was observed at the 24-month examination. Conclusions: Three phases of carotid stent incorporation are defined: (1) an early unstable period soon after stent placement with an echolucent (thrombotic) SPL layer, (2) a moderately unstable phase with ingrowing neointima (1–12 months), and (3) a stable phase from the second year on. These data may indicate the need for different intensities of therapy and surveillance intervals.

Hepatic Lymph Nodes as a Follow-up Factor in Primary Biliary Cirrhosis: An Ultrasound Study

1995 ◽  
Vol 30 (10) ◽  
pp. 1036-1040 ◽  
Author(s):  
K. Lyttkens ◽  
H. Prytz ◽  
L. Forsberg ◽  
I. Hägerstrand
Keyword(s):  
Primary Biliary Cirrhosis ◽  
Lymph Nodes ◽  
Biliary Cirrhosis ◽  
Ultrasound Study

Orbital Hydatid Cyst: An Interventional Case Series

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Tajamul Khan ◽  
Ibrar Hussain ◽  
Zaman Shah
Keyword(s):  
Visual Acuity ◽  
Hydatid Cyst ◽  
Teaching Hospital ◽  
Case Series ◽  
Surgical Excision ◽  
P Value ◽  
Presumptive Diagnosis ◽  
Female Ratio ◽  
Orbital Imaging

Purpose:  To find out the demographics, presentation, and outcome of surgical treatment in patients of orbital hydatid cyst. Study Design:  Interventional case series. Place and Duration of Study:  Khyber Teaching Hospital Peshawar, Pakistan from 2009 to 2019. Methods:  This study included 11 patients with orbital hydatid cyst who presented in Khyber Teaching Hospital, Peshawar. Detailed history, ocular examination and Orbital imaging (Ophthalmic B-Scan, CT scan and/or MRI) was performed. The patients underwent Orbitotomy, cyst extirpated and sent for histopathology. Albendazole was given to the patients for 12 weeks after surgery. The preoperative and postoperative data until last follow-up was analyzed. Results:  Male to Female ratio was 5:6 and the mean age of the patients was 18.17 ± 17.4 years. Mean amount of proptosis was 26.27 ± 2.05mm and visual acuity was 0.23 ± 0.33 decimal in the affected eye at presentation. Eight patients (72.8%) had Relative Afferent Pupillary Defect with swollen discs. After imaging studies, presumptive diagnosis of hydatid cyst was made. Histopathology confirmed the diagnosis of hydatid cyst in all cases. Mean proptosis at the last follow up improved to 19.04 ± 1.45mm (P value = 0.00) and visual acuity to 0.47 ± 0.22 decimals (P value = 0.048). Only one patient (9.1%) had an associated hydatid cyst in the lung. There was no recurrence until last follow-up. Conclusion:  Hydatid cyst should be considered in differential diagnosis of proptosis in patients under 20. Surgical excision followed by a course of oral Albendazole is effective for the treatment of orbital hydatid cyst. Key Words:  Orbital hydatid cyst, Proptosis, Orbitotomy.

scholarly journals Unusual intramuscular locations as a first presentation of hydatid cyst disease in children: a report of two cases

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ruba A. Khasawneh ◽  
Ziyad M. Mohaidat ◽  
Rawand A. Khasawneh ◽  
Sohaib B. Zoghoul ◽  
Yousef M. Henawi
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Rectus Femoris ◽  
Mri Imaging ◽  
Palpable Lump ◽  
First Case ◽  
Endemic Areas ◽  
Wbc Count ◽  
The Right

Abstract Background Hydatid disease is an endemic disease in many countries of the world including the Middle East. It mainly affects the liver and lungs. Intramuscular hydatid disease is rarely reported in children. Such uncommon localization of hydatid cyst may pose difficulties in the clinical and radiological diagnosis; hence affecting patient’s management and outcome even in endemic areas. Case presentation We herein describe intramuscular hydatid cysts in 2 different children. The first case is a 5-year-old boy who presented with a painless palpable lump over the right lumbar paraspinal region. His history was remarkable for sheep contact. His laboratory results revealed a mild increase in white blood cell (WBC) count and C-reactive protein. The lesion showed typical features of a hydatid cyst on ultrasound. Further imaging including ultrasound of the abdomen and CT of the chest, abdomen, and pelvis showed infestation of the liver and lung as well. The lesions were resected surgically without complications. The patient received Albendazole preoperatively and after surgery for 3 months. No evidence of recurrence was seen during follow-up. The second case is a 6-year-old girl who presented with an incidental palpable lump in her left thigh during her hospital admission for recurrent meningitis. Ultrasound and MRI imaging were performed demonstrating a unilocular cystic lesion in the left proximal rectus femoris muscle. A provisional diagnosis of hematoma vs. myxoma was given. Biopsy was performed and yielded blood products only. The lesion was resected surgically with a postoperative diagnosis of hydatid cyst. Blood tests performed afterward showed a positive titer for Echinococcus. The patient received Albendazole for 3 months. No evidence of recurrence was seen during follow-up. Conclusions Despite its rarity; skeletal muscle hydatid cyst should always be considered in the differential diagnosis of cystic muscle lesions in children in endemic areas even if imaging studies did not show any of the typical signs. This will improve patient outcome by preventing unnecessary cystic puncture which might lead to serious complications, such as anaphylaxis and local dissemination.

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