Intraoperative transthoracic ultrasonography in hepatopulmonary hydatid cyst disease: seeing beyond the horizon

Liver is the most common organ involved in hydatid disease. But involvement of multiple organs simultaneously is not unheard of. Here we have presented our experience with one such similar case with involvement of lower lobe of right lung and segment VII of liver. There was spontaneous rupture of the lung hydatid cyst during the hospital stay. A right posterolateral thoracotomy was performed for evacuation of spilled hydatid cyst content from the right pleural cavity. Intraoperative ultrasound (IOUS) was used to locate and drain the hepatic hydatid cyst via the diaphragm. Such single incision surgery for hepatopulmonary hydatid disease is associated with lesser post-operative morbidity and early discharge from the hospital. Use of IOUS can significantly improve the rate of successful localization and drainage of hepatic hydatid cyst in transthoracic approach.

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Management of a hepatic hydatid cyst ruptured into the retroperitoneum and the abdominal wall muscles: A case report

Romanian Journal of Infectious Diseases ◽

10.37897/rjid.2021.3.5 ◽

2021 ◽

Vol 24 (3) ◽

pp. 149-152

Author(s):

Seifeddine Baccouche ◽

◽

Mohamed Hajri ◽

Sarraj Achref ◽

Hammadi Ben Chaabene ◽

...

Keyword(s):

Hydatid Cyst ◽

Abdominal Wall ◽

Biliary Tract ◽

Hydatid Disease ◽

Abdominal Ultrasound ◽

Exceptional Case ◽

Hepatic Hydatid Cyst ◽

Posterior Abdominal Wall ◽

Long Time ◽

Hepatic Hydatid

Introduction. Hydatid disease is a zoonosis caused by the tapeworm Echinococcus granulosus. The liver is the most commonly involved organ, followed by lungs. The most common complications of hepatic hydatid cyst are rupture into the biliary tract and secondary bacterial infection. However, rupture into the retroperitoneum and the abdominal wall muscles is exceptional. Case presentation. We describe an unusual case of a 27-year-old female who was referred to our department for right flank pain for four months. Abdominal ultrasound and CT scan revealed a huge hydatid cyst in liver segment VI fistulizing to the retroperitoneum and the lateral and posterior abdominal wall muscles, causing anterior displacement of the right kidney, with two other cysts in segment II and VIII. Surgery was performed associated with perioperative antiparasitic chemotherapy. The cysts were unroofed and a resection of the protruding domes was performed. The hydatid material in the retroperitoneum and the muscles were completely evacuated by aspiration. Follow-up showed no recurrence. Discussion. Hepatic hydatid cyst rupture usually occurs into biliary tract, pleural cavity, bronchial tree and intraperitoneal cavity. Rupture into the retroperitoneum and the lateral and posterior abdominal wall muscles is exceptional. To our knowledge, this complication has never been documented before. The hydatid disease may involve insidiously for a long time to lead to such a complication. Surgery was inevitable in our case. It allowed to treat both the hydatid cyst and its complication. Conclusions. A rupture into the retroperitoneum and the abdominal wall muscles as a complication of a liver hydatid cyst is exceptional. In this presentation, we noticed that hydatid cysts can reach an extremely large size while remaining for a long time asymptomatic. We aim to highlight the significance of preventive measures and public health education to fight against the hydatid disease in endemic areas.

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A Case of Giant Hepatic Hydatid Cyst Infected withMorganella morganiiand the Literature Review

Case Reports in Gastrointestinal Medicine ◽

10.1155/2012/591561 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Ismail Necati Hakyemez ◽

Mustafa Sit ◽

Gulali Aktas ◽

Tekin Tas ◽

Fırat Zafer Mengeloglu ◽

...

Keyword(s):

Hydatid Cyst ◽

Liver Abscess ◽

Clinical Signs ◽

Computed Tomography Scan ◽

Hepatic Hydatid Cyst ◽

Important Complication ◽

Loss Of Appetite ◽

The Right ◽

Tomography Scan ◽

Hepatic Hydatid

Hydatid cyst disease is a common worldwide zoonosis. Most of the cysts are located in the liver. Abscess formation due to infection of the cyst is an important complication.M. morganii,a Gram-negativeBacillus, is a quite rare cause of liver abscess. A 77-year-old woman was admitted to hospital with complaints of fever, chills, nausea, vomiting, loss of appetite, and abdominal pain located in the right-upper quadrant. Her history was positive for hepatic hydatid cyst disease ten years ago. Physical examination revealed a painful mass filling the right-upper quadrant and extending down to umbilicus. Indirect hemagglutinin test for hydatid cyst was positive at a titer of 1/320. Giant liver abscess due to infected hydatid cyst was found in computed tomography scan. Surgeons performed cystectomy and cholecystectomy. Cefazoline, cefuroxime, and metronidazole were administered empirically, but all the three agents were replaced with intravenous ceftriaxone afterM. morganiiwas isolated from the cultures of the abscess material. Clinical signs of the patient resolved at the second week of treatment, and she was discharged.

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Rare Cause of Tension Pneumothorax: Hydatid Disease of Lung: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.4693 ◽

2020 ◽

Vol 58 (224) ◽

Author(s):

Achyut Bhakta Acharya ◽

Narendra Bhatta ◽

Deebya Raj Mishra ◽

Avatar Verma ◽

Rejina Shahi

Keyword(s):

Case Report ◽

Hydatid Cyst ◽

Hydatid Disease ◽

Tension Pneumothorax ◽

Common Site ◽

Hepatic Hydatid Cyst ◽

High Burden ◽

Zoonotic Infections ◽

Pleural Involvement ◽

Hepatic Hydatid

Lung is the second most common site of hydatid disease, after liver. Pleural involvement of hydatiddisease can occur, and usually follows the rupture of a pulmonary or hepatic hydatid cyst into thepleural space. When a patient presents with tension pneumothorax, zoonotic infections, especiallyhydatid disease of the lung, also has to be considered especially in areas with high burden of thedisease. We report a 31 years male patient presenting with tension pneumothorax due to rupture ofhydatid cyst of lung.

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INTRATHORACIC RUPTURE OF HEPATIC HYDATID CYST- A RARE COMPLICATION OF HYDATID DISEASE

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2018/277 ◽

2018 ◽

Vol 5 (15) ◽

pp. 1338-1341

Author(s):

Usha Rani Dalal ◽

Ashwani Kumar Dalal ◽

Julie Singh ◽

Bharat Kumar

Keyword(s):

Hydatid Cyst ◽

Hydatid Disease ◽

Rare Complication ◽

Hepatic Hydatid Cyst ◽

Hepatic Hydatid

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HEPATIC HYDATID CYST OPERATED ROBOTICALLY

Journal of Surgical Sciences ◽

10.33695/jss.v2i2.111 ◽

2015 ◽

Vol 2 (2) ◽

pp. 76-81

Author(s):

I. Slavu ◽

V. Braga ◽

L. Alecu

Keyword(s):

Robotic Surgery ◽

Hydatid Cyst ◽

Da Vinci ◽

Chronic Abdominal Pain ◽

Hepatic Hydatid Cyst ◽

Da Vinci Robotic System ◽

Laboratory Investigations ◽

The Right ◽

Hepatic Hydatid

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.

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Uncertainties in the postoperative management of a pregnant woman with hepatic hydatid cyst

Romanian Journal of Medical Practice ◽

10.37897/rjmp.2016.1.19 ◽

2016 ◽

Vol 11 (1) ◽

pp. 93-95

Author(s):

Adriana Elena NICA ◽

◽

M. COŢOFANĂ ◽

Florentina MUȘAT ◽

O. ANDRONIC ◽

...

Keyword(s):

Hydatid Cyst ◽

Orotracheal Intubation ◽

Postoperative Management ◽

Cystic Mass ◽

Hepatic Hydatid Cyst ◽

Therapeutic Modalities ◽

Knowing That ◽

Patient Will ◽

The Right ◽

Hepatic Hydatid

There are 3 therapeutic modalities to treat cystic echinococcosis: chemotherapy, surgery (classic or laparoscopic), PAIR technique (puncture, aspiration, injection, and re-aspiration), with the latter two being performed with or without chemotherapy. We present the case of of a 17-year-old female, with a 6-month-old caesarean section in her medical history, diagnosed, by another medical facility, with a hepatic hydatid cyst, who presents with pain in the right hypochondrium, nausea and vomiting. The ultrasound examination revealed a cystic mass in the fifth hepatic segment, on the visceral surface, which compresses the right branch of portal vein and the gall bladder. It was decided to perform a Lagrot cystectomy under general anesthesia with orotracheal intubation. The pacient received albendazole postoperatively, knowing that the patient will continue breastfeeding, because this treatment can be safely administered due to the reduced concentration of the active metabolite in breast milk.

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