scholarly journals Endoscopic ultrasound diagnosis of hydatid membranes in nonobstructive biliary system

2017 ◽  
Vol 08 (01) ◽  
pp. 44-45
Author(s):  
Sharad Chandra ◽  
Urvashi Chandra ◽  
Rajesh Puri
Keyword(s):  
Magnetic Resonance Imaging ◽  
Acute Pancreatitis ◽  
Bile Duct ◽  
Hydatid Cyst ◽  
Abdominal Ultrasound ◽  
Resonance Imaging ◽  
Hepatic Hydatid Cyst ◽  
Quadrant Pain ◽  
Biliary Communication ◽  
Hepatic Hydatid

AbstractBiliary communication in hepatic hydatid cyst is reported in 1–20% of patients. These patients present with fever (70–90%), right upper quadrant pain (80%), cholangitis (20–37%), acute pancreatitis (rare), liver abscess, and septicemia. Diagnosis of biliary rupture is on abdominal ultrasound, computerized tomography, and/or magnetic resonance imaging demonstration of hydatid membranes. We report a case of rupture hydatid cyst where diagnosis was on endosonographic findings and the patient had normal caliber common bile duct.

INTRABILIARY OBSTRUCTION DUE TO RUPTURED HEPATIC HYDATID CYST: EVALUATION WITH COMPUTED TOMOGRAPHY AND MAGNETIC RESONANCE IMAGING

2001 ◽  
Vol 13 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Joannis Tsitouridis ◽  
George Kouklakis ◽  
Kostantinos Tsitouridis ◽  
Dimitrios Melidis ◽  
Nikolaos Krokos ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Hydatid Cyst ◽  
Resonance Imaging ◽  
Hepatic Hydatid Cyst ◽  
Hepatic Hydatid

scholarly journals Percutaneous Alcohol Sclerotherapy of a Hepatic Hydatid Cyst after Balloon Occlusion of a Large Biliary Communication

2011 ◽  
Vol 20 (5) ◽  
pp. 477-479 ◽  
Author(s):  
Jozsef Varro ◽  
Laji Mathew ◽  
Reji Philip Athyal ◽  
Abdulrahman H. Khafagy
Keyword(s):  
Hydatid Cyst ◽  
Balloon Occlusion ◽  
Hepatic Hydatid Cyst ◽  
Biliary Communication ◽  
Hepatic Hydatid

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

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.

scholarly journals A clinical study for preoperative prediction of cyst-biliary communications in hepatic hydatid cyst disease

2020 ◽  
Vol 7 (2) ◽  
pp. 423
Author(s):  
Dharmanjai K. Sharma ◽  
Mukesh Khedar ◽  
Mukta Sukhadia ◽  
Deepak Sethi
Keyword(s):  
Hydatid Cyst ◽  
Surgical Management ◽  
Eosinophil Count ◽  
Hydatid Cysts ◽  
Cyst Size ◽  
Hepatic Hydatid Cyst ◽  
Distribution Width ◽  
Preoperative Prediction ◽  
Biliary Communication ◽  
Hepatic Hydatid

Background: Cyst-biliary communication with hepatic hydatid cyst disease is responsible for postoperative bile leakage after surgical management. This study aims to detect various predictors of cyst-biliary communication and their predictive accuracy.Methods: This study was done in the patients of hydatid cysts who underwent surgical management for hydatid disease of the liver. Various factors were studied and their accuracy for preoperative prediction of cyst-biliary communication analyzed.Results: There were 38 (22 males, 16 females) patients with hepatic hydatid cysts with a mean age of 38.7±15.4 years. Cyst-biliary communications were detected in 12 patients (31.6%). Independent strong predictors were tenderness in right hypochondrium (p=0.035), total leucocyte count (TLC)>12,000/mm3 (p=0.0017),  eosinophil count >5 × 108/l (p=0.0086), red blood cell distribution width (RDW) >15% (p=0.014), segment IV,V,VII involvement and cyst size >10 cms (p=0.01) on multivariate analysis.Conclusions: Cyst-biliary communication is more common in patients presenting with tenderness in right hypochondrium, large cyst size, location in the central segments of liver close to biliary confluence, and with high values of TLC, Eosinophil count and RDW. The predictors demonstrated in this study should allow the likelihood of cyst-biliary communication to be determined preoperatively and, thus, indicate the need for additional procedures during operations to prevent the complications of biliary leakage.

scholarly journals Acute Pancreatitis as an Uncommon Complication of Hydatid Cyst of the Liver: A Case Report and Systematic Literature Review .

2020 ◽  
Author(s):  
Ahmed Ben Mahmoud ◽  
Souhaib Atri ◽  
Wael Rebai ◽  
Houcine Maghrebi ◽  
Amin Makni ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Literature Review ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Systematic Literature Review ◽  
The Common ◽  
Biliary Communication ◽  
Biliary Tracts

Abstract BackgroundHydatid disease is a major health problem worldwide. The liver is the most frequent location of hydatid disease. Acute pancreatitis secondary to liver hydatid cyst ruptured in the biliary tract is scarce and fewly described in literature. The management of this pancreatic complication of liver hydatid disease is challenging and includes a combination of surgical and endoscopic approaches. We report herein a rare case of hydatid cyst of the liver with cysto-biliary communication revealed by acute pancreatitis. A systematic literature review of similar cases reported was provided to compare surgical and endoscopic techniques. Case presentationA thirty-year-old woman was referred to our emergency unit for acute epigastric pain evolving for four days. We found fever associated with epigastric guarding on physical examination. Laboratory tests showed inflammatory biological syndrome with frankly high serum lipase level and abnormal liver tests. The diagnosis of acute pancreatitis was set. We decided then to perform an abdominal ultrasound that showed dilatation of intra and extrahepatic biliary tracts without gallbladder stones. A cystic mass of the left liver was additionally found. On CT-scan, we found a C grade acute pancreatitis. Furthermore, a hydatid cyst of the left liver ruptured in the biliary tracts and daughter vesicles within were found. We decided then to perform an emergency surgery through a bisoucostal incision. We performed a cholecystectomy and a peroperative that showed the communication between the cyst and left biliary tracts and the presence of daughter vesicle within the common bile duct. We conducted an exploration of the common bile duct with extraction of vesicle daughters. We left behind a T-tube in the common bile duct and we sutured the cysto-biliary fistula. Drainage was left in the remnant cavity after unroofing the cyst. Postoperative course was uneventful. Six months follow-up showed no recurrence.ConclusionCysto-biliary communication of liver hydatid disease revealed by acute pancreatitis is uncommon. We chose to perform emergency open surgery. However, through a systematic literature review, we noticed that endoscopic treatment is an efficient therapeutic and diagnostic tool to delay a morbid surgery of the liver and the common bile duct.

scholarly journals Splenic Hydatid Cyst- A Case Report

2021 ◽  
Author(s):  
Leena Kumar ◽  
Harshavardhan Balaganesan ◽  
Sanjay Ballari ◽  
Pooja Varwatte ◽  
Meenal Jain
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Cystic Lesion ◽  
Resonance Imaging ◽  
Quadrant Pain ◽  
Current Case ◽  
Computed Tomographic ◽  
Splenic Hydatid Cyst

Although involvement of spleen is rare in cases of hydatid disease, it should always be considered as a differential diagnosis for a cystic lesion in any of the solid organs, abdomen, lung or brain. The current case report is of a 60-year-old female patient who presented to Emergency Department with complaints of left upper quadrant pain which was continuous and dull aching. Ultrasound abdomen revealed a well-defined multicystic lesion with septations in spleen. Computed tomographic examination and magnetic resonance imaging confirmed the same and the lesion showed the characteristic T2 hypointense rim, consistent with hydatid disease. Splenectomy was performed for the patient and proved to be splenic hydatid cyst.

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