scholarly journals Hepatic hydatid cyst: a non-surgical approach

2012 ◽  
Vol 45 (6) ◽  
pp. 774-776 ◽  
Author(s):  
Pedro Silva Vaz ◽  
Eduardo Pereira ◽  
Sergiu Usurelu ◽  
Ana Monteiro ◽  
Ana Caldeira ◽  
...  

Echinococcosis/hydatidosis is common in societies where agriculture and livestock are frequent, and represents a public health problem. The therapeutic management depends on the cyst's characteristics, the patient, and surgical contraindications. Endoscopic retrograde cholangiopancreatography is a valuable tool in the diagnosis and treatment of complicated hepatic hydatid disease. Ultrasonography is a useful diagnostic, therapeutic and follow-up tool. The authors report a case of a 56 years old patient who was diagnosed with a hepatic hydatid cyst in the IVa/VIII segments, describe the therapeutic options and 50 months of disease-free follow-up.

2020 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Hallal Mahmoud ◽  
◽  
Mroue Ahmad ◽  
Kayal Mira ◽  
◽  
...  

Hepatic hydatid cysts are benign cysts in the liver that are the result of parasites infection. They are caused by echinoccocus granulosis or multilocularis. They caused several symptoms like pain, obstructive jaundice, and sepsis. Hydatid cyst can be complicated to cystobiliary communication (CBC) which can be frank CBC or occult CBC. Medical, endoscopic, percutaneous and surgical treatments are different approaches to treat hydatid cyst. Here we report a case of hepatic hydatid cyst with cystobiliary communication, causing obstructive jaundice and treated with sphincterotomy and insertion of biliary stent through endoscopic retrograde cholangiopancreatography (ERCP).


2007 ◽  
Vol 21 (4) ◽  
pp. 249-253 ◽  
Author(s):  
Andreas Manouras ◽  
Michael Genetzakis ◽  
Pantelis T Antonakis ◽  
Emmanuel Lagoudianakis ◽  
Michael Pattas ◽  
...  

Hydatid disease, although endemic mostly in sheep-farming countries, remains a public health issue worldwide, involving mainly the liver. Intrabiliary rupture is the most frequent complication of the hepatic hydatid cyst. Endoscopy is advocated, preoperatively, to alleviate obstructive jaundice caused by intracystic materials after a frank rupture and is also a useful and well-established adjunct in locating postoperative biliary fistulas.Endoscopic retrograde cholangiography with sphincterotomy has been successful as the sole and definitive means of treatment of intra-biliary ruptured hydatid cysts. A case of an elderly woman with frank rupture is presented, where the rupture was definitively managed endoscopically in conjunction with sphincterotomy to remove the intrabiliary obstructive daughter cysts and to achieve decontamination of the biliary tree.Endoscopic retrograde cholangiography provided an excellent diagnostic and therapeutic modality in the present case and, thus, it should be considered as definitive treatment in similar cases especially if surgical risk is anticipated to be high.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mustafa Sit ◽  
Gülali Aktaş ◽  
Edip Erdal Yilmaz ◽  
İsmail Necati Hakyemez ◽  
Aytekin Alçelik ◽  
...  

Background. Hepatic hydatid cyst infection is caused by microorganisms namedEchinococcuswhich belong to family Taeniidae. Platelets are considered as a mediator in inflammation and infectious diseases because of the various proinflammatory substances that they contain.Design and Methods. Thirty-three patients who were admitted to Doğubayazıt State Hospital’s General Surgery Clinic with a diagnosis of hepatic cyst hydatid were enrolled in this retrospective study. Laboratory data of the patients in pre- and postoperative periods were obtained from computerized medical records database of the hospital.Results. Preoperative mean platelet volume (MPV) of the patients was significantly increased compared to postoperative MPV values.Conclusion. We claim that MPV is a useful follow-up marker after surgery in patients with hydatid cyst.


2021 ◽  
Vol 14 (8) ◽  
pp. e243533
Author(s):  
Shrenik Govindaraj ◽  
Veera Bhadra ◽  
Clement Prakash ◽  
Sridar Govindaraj

The larvae of the tapeworm Echinococcus granulosus cause echinococcosis or hydatid disease. Liver is the most commonly involved organ accounting for 60%–80%. Rupture into the biliary radicle through a cystobiliary communication is the most anticipated complication seen in 5%–17%, presenting with obstructive jaundice and cholangitis. We present a young patient who had presented with cholangitis and a tender hepatomegaly. Contrast-enhanced CT (CECT) had revealed a large hepatic hydatid cyst with multiple daughter cysts and significant dilatation of intrahepatic/extrahepatic biliary system. He had undergone an emergency Endoscopic Retrograde Cholangiopancreatography (ERCP) with extraction of the membranes and stenting of the common bile duct. A few cycles of albendazole were given to sterilise before elective laparoscopic surgery. However, a follow-up CECT showed complete resolution of the hepatic hydatid with calcification. In conclusion, medical treatment with a few cycles of albendazole and ERCP with stenting could be a good treatment option.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Rachida Laamiri ◽  
Sahla Sellami ◽  
Nahla Kechiche ◽  
Mabrouk Abdelaali ◽  
Mongi Mekki ◽  
...  

Abstract Background Intrathoracic rupture of hepatic hydatid cyst is a rare but dangerous complication. Its occurrence in children is exceptional as diagnosis and management constitute real challenges. We report two cases of intrathoracic rupture of hepatic hydatid cyst in children. Case presentation Our patients were respectively 12-year-old boy and 9-year-old girl, known cases of respiratory symptoms, diagnosed initially for pleuropneumonia. The CT scan established the diagnosis of intrathoracic rupture of hepatic hydatid cyst in the pleural cavity for the first patient and in the bronchial tree for the second. An emergency surgery was performed for both. The second patient developed broncho-biliary fistulas during the post-operative course which necessitated a re-intervention. A recurrence was noted at follow-up for the second patient. Conclusion Intrathoracic rupture of hepatic hydatid cyst is a serious complication which can occur even in children. Its diagnosis needs a high index of suspicion. The surgical approach remains controversial and there is a lack of consensus about the best way of management. Recurrence may occur despite appropriate treatment.


2012 ◽  
Vol 2 (1) ◽  
pp. 31-34 ◽  
Author(s):  
RK Rauniyar ◽  
U Sharma ◽  
S Baboo

Hydatid disease (echinococcosis) commonly involves liver while other known extrahepatic sites of involvement are lung, heart, brain, kidney, bones, spleen, pancreas, adrenal and muscles.1-3 Ultrasonography (US) and computed tomography (CT) features are characteristic especially in hepatic disease and hence diagnosed easily, while isolated extrahepatic diseases are sometimes difficult to diagnose. Here, we present an interesting case of hydatid cyst in paraspinal muscle with unusual clinical and imaging features, but treated successfully inspite, initial diagnostic dilemma. Imaging features and follow up result are discussed. NJR I VOL 2 I ISSUE 1 31-34 Jan-June, 2012 DOI: http://dx.doi.org/10.3126/njr.v2i1.6977


2015 ◽  
Vol 2 (2) ◽  
pp. 76-81
Author(s):  
I. Slavu ◽  
V. Braga ◽  
L. Alecu

Based on a case operated in our clinic the paper discusses the various applications of robotic surgery in the surgical treatment of the hepatic hydatid cyst. We present the case of a 29- year-old patient who presented to our clinic with chronic abdominal pain (8 months) localized in the right upper quadrant, without irradiation and showing no other accompanying phenomena. The patient was hospitalized and after clinical and laboratory investigations we confirmed the diagnosis of hepatic multilocular hydatid cyst located in the V, VI and VIII segments. Surgery was performed under general anesthesia and with the help of the STANDARD da Vinci robotic system equipped with four arms. The parasite was intactivated, a partial pericystectomy was done and the remaining cavity was drained. The patient's postoperative evolution was favorable and she was discharged in the 8th postoperative day. The 8 month follow-up showed no complications or pathological changes. In conclusion, robotic surgery can be successfully used in the treatment of the hepatic hydatid cyst.


Sign in / Sign up

Export Citation Format

Share Document