Portal Cavernoma Complicating a Persistent Postoperative Bile Leak after Liver Hydatid Cyst Surgery: -a Report Case-

INTRODUCTION: Hydatid cyst is a parasitic infection caused by the larval form of Echinococcus granulosis. Portal hypertension is an unusual postoperative complication after a liver hydatid cyst surgery. CASE PRESENTATION: To illustrate this rare condition, we present the case of a 32-year-old patient operated for a liver hydatid cyst with late-onset postoperative complications. The patient suffered from secondary digestive bleeding because of portal hypertension and was therefore treated with a distal splenorenal shunt (Warren). CONCLUSION: Surgery of hydatid cyst may cause severe complications like portal hypertension and in certain cases, distal splenorenal anastomosis might represent an important treatment option that needs to be performed in specialised centres. Keywords: Liver cyst, Portal hypertension, Splenorenal shunt.

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Presence of an Isolated Hydatid Cyst in the Left Kidney: Report of a Case of This Rare Condition Managed Surgically

Case Reports in Urology ◽

10.1155/2016/6902082 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Daniel Paramythiotis ◽

Petros Bangeas ◽

Konstantinia Kofina ◽

Vassileios Papadopoulos ◽

Antonios Michalopoulos

Keyword(s):

Hydatid Cyst ◽

Left Kidney ◽

Rare Condition ◽

Clinical History ◽

Cystic Mass ◽

Renal Masses ◽

Case Presentation ◽

Radiologic Imaging ◽

Laboratory Examinations ◽

Upper Abdominal

Introduction.Hydatid cyst disease caused byEchinococcus granulosusis rarely presented in the kidneys, whereas isolated renal occurrence is estimated to be about as low as 2–4% of all cases. We present a case of a female patient suffering from this condition that was treated successfully in our department.Case Presentation.A 44-year-old woman was incidentally diagnosed with a 14 cm left renal cystic mass through ultrasound imaging performed during upper abdominal pain investigation. Laboratory examinations were normal and CT imaging set the diagnosis of an isolated left renal hydatid cyst. The cyst was excised and the postoperative period was uneventful.Discussion.Isolated renal hydatid cyst is a very rare condition and could possibly be misdiagnosed with other renal masses. The clinical history, laboratory tests, and thorough radiologic imaging are crucial for the accurate preoperative diagnosis.

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An Obscure Colon Dilatation and its Underlying Cause: Case Report and Literature Review

10.31487/j.gscr.2020.01.03 ◽

2020 ◽

pp. 1-5

Author(s):

Anton Stift ◽

Kerstin Wimmer ◽

Felix Harpain ◽

Katharina Wöran ◽

Thomas Mang ◽

...

Keyword(s):

Case Report ◽

Sigmoid Colon ◽

Immunohistochemical Staining ◽

Late Onset ◽

Hirschsprung Disease ◽

Endoscopic Examination ◽

Case Presentation ◽

Idiopathic Megacolon ◽

History Of ◽

Cells Of Cajal

Introduction: Congenital as well as acquired diseases may be responsible for the development of a megacolon. In adult patients, Clostridium difficile associated infection as well as late-onset of Morbus Hirschsprung disease are known to cause a megacolon. In addition, malignant as well as benign colorectal strictures may lead to intestinal dilatation. In case of an idiopathic megacolon, the underlying cause remains unclear. Case Presentation: We describe the case of a 44-year-old male patient suffering from a long history of chronic constipation. He presented himself with an obscurely dilated large intestine with bowel loops up to 17 centimeters in diameter. Radiological as well as endoscopic examination gave evidence of a spastic process in the sigmoid colon. The patient was treated with a subtotal colectomy and the intraoperative findings revealed a stenotic stricture in the sigmoid colon. Since the histological examination did not find a conclusive reason for the functional stenosis, an immunohistochemical staining was advised. This showed a decrease in interstitial cells of Cajal (ICC) in the stenotic part of the sigmoid colon. Discussion: This case report describes a patient with an idiopathic megacolon, where the underlying cause remained unclear until an immunohistochemical staining of the stenotic colon showed a substantial decrease of ICCs. Various pathologies leading to a megacolon are reviewed and discussed.

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Intrabiliary and abdominal rupture of hepatic hydatid cyst leading to biliary obstruction, cholangitis, pancreatitis, peritonitis and septicemia: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-021-02822-5 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Manouchehr Aghajanzadeh ◽

Mohammad Taghi Ashoobi ◽

Hossein Hemmati ◽

Pirooz Samidoust ◽

Mohammad Sadegh Esmaeili Delshad ◽

...

Keyword(s):

Abdominal Pain ◽

Hydatid Cyst ◽

Hydatid Disease ◽

Biliary Obstruction ◽

Abdominal Ultrasound ◽

Sporadic Case ◽

Gallbladder Wall ◽

Liver Cyst ◽

Biliary Duct ◽

Wall Thickening

Abstract Background Hydatid cysts are fluid-filled sacs containing immature forms of parastic tapeworms of the genus Echinococcus. The most prevalent and serious complication of hydatid disease is intrabiliary rupture, also known as cystobiliary fistulae. In this study, a sporadic case of biliary obstruction, cholangitis, and septicemia is described secondary to hydatid cyst rupture into the common bile duct and intraperitoneal cavity. Case presentation A 21-year-old Iranian man was admitted to the emergency ward with 5 days of serious sickness and a history of right upper quadrant abdominal pain, fatigue, fever, icterus, vomiting, and no appetite. In the physical examination, abdominal tenderness was detected in all four quadrants and in the scleral icterus. Abdominal ultrasound revealed intrahepatic and extrahepatic biliary duct dilation. Gallbladder wall thickening was normal but was very dilated, and large unilocular intact hepatic cysts were detected in segment IV and another one segment II which had detached laminated membranes and was a ruptured or complicated liver cyst. Conclusion Intrabiliary perforation of the liver hydatid cyst is an infrequent event but has severe consequences. Therefore, when patients complain of abdominal pain, fever, peritonitis, decreased appetite, and jaundice, a differential diagnosis of hydatid disease needs to be taken into consideration. Early diagnosis of complications and aggressive treatments, such as endoscopic retrograde cholangiopancreatography and surgery, are vital.

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Late-onset multiple acyl-CoA dehydrogenase deficiency with breast cancer

Egyptian Journal of Medical Human Genetics ◽

10.1186/s43042-020-00121-0 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Keechilat Pavithran ◽

Divya Pachat ◽

Dehannathparambil Kottarathil Vijaykumar

Keyword(s):

Dehydrogenase Deficiency ◽

Late Onset ◽

Acid Oxidation ◽

Successful Management ◽

Carcinoma Of The Breast ◽

Metabolic Complications ◽

Case Presentation ◽

Neonatal Onset ◽

Gene Mutation Analysis ◽

Rare Metabolic Disorder

Abstract Background Multiple acyl-CoA dehydrogenase deficiency (MAAD) is a rare metabolic disorder resulting from an abnormality in fatty acid oxidation. There are three types of presentations: neonatal onset with or without congenital anomalies and the late-onset type. There is much clinical heterogeneity in the presentation of late-onset variants; hence, the diagnosis is often delayed or missed. Case presentation Here, we report the successful management of a 41-year-old female with late-onset MAAD due to mutation in the ETFDH gene who presented with carcinoma of the breast. Chemotherapy was challenging because there were no previous reports regarding the treatment of such cases. Conclusion The diagnosis was made based on metabolic workup and gene mutation analysis. Unplanned surgery and chemotherapy can be fatal in these patients due to metabolic complications. With proper precautions and monitoring, the patient tolerated surgery and chemotherapy without any complications.

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Is Radical Surgery for Liver Hydatid Cyst the Right Way?

World Journal of Surgery ◽

10.1007/s00268-015-3175-5 ◽

2015 ◽

Vol 40 (2) ◽

pp. 486-487 ◽

Cited By ~ 1

Author(s):

Cuneyt Kayaalp

Keyword(s):

Hydatid Cyst ◽

Radical Surgery ◽

Liver Hydatid Cyst ◽

The Right

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Tubocutaneous Fistula

Case Reports in Obstetrics and Gynecology ◽

10.1155/2015/104360 ◽

2015 ◽

Vol 2015 ◽

pp. 1-2

Author(s):

Krishnaveni Nayini ◽

Clive Gie

Keyword(s):

Early Diagnosis ◽

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Fistulous Tract ◽

Rare Condition ◽

Diagnosis And Treatment ◽

Case Presentation ◽

Child Birth ◽

The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

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Extensive Extraneural Metastases of Cerebral Glioblastoma in a Pediatric Patient: An Extreme Case Report and Comprehensive Review of the Literature

Pediatric Neurosurgery ◽

10.1159/000515348 ◽

2021 ◽

pp. 1-6

Author(s):

Kadir Oktay ◽

Dogu Cihan Yildirim ◽

Arbil Acikalin ◽

Kerem Mazhar Ozsoy ◽

Nuri Eralp Cetinalp ◽

...

Keyword(s):

Case Report ◽

Pediatric Patients ◽

Extreme Case ◽

Rare Condition ◽

Review Of The Literature ◽

Pertinent Literature ◽

Cervical Lymph Nodes ◽

Case Presentation ◽

Comprehensive Review ◽

Extraneural Metastases

Introduction: Extraneural metastases of glioblastoma are very rare clinical entities, especially in pediatric patients. Because of their rarity, they can be confused with other pathological processes. Case Presentation: We report a case of 16-year-old boy with extensive extraneural metastases of glioblastoma. Lung, liver, cervical lymph nodes, skin, and bone metastases were detected in the patient. Conclusion: We describe the presentation, evaluation, and diagnosis of this rare condition with regard to pertinent literature.

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Anaphylactic shock during liver hydatid cyst surgery

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2011.04.016 ◽

2012 ◽

Vol 24 (2) ◽

pp. 173-174

Author(s):

Mohammed Khallouki ◽

Younes Rouiessi ◽

Youssra Danaoui ◽

A. Sihami ◽

M.A. Samkaoui ◽

...

Keyword(s):

Hydatid Cyst ◽

Anaphylactic Shock ◽

Liver Hydatid Cyst

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Spontaneous pneumoperitoneum with duodenal diverticulosis in an elderly patient: a case report

Surgical Case Reports ◽

10.1186/s40792-019-0769-4 ◽

2020 ◽

Vol 6 (1) ◽

Cited By ~ 2

Author(s):

Takeshi Ueda ◽

Tetsuya Tanaka ◽

Takashi Yokoyama ◽

Tomomi Sadamitsu ◽

Suzuka Harada ◽

...

Keyword(s):

Conservative Treatment ◽

Abdominal Cavity ◽

Vital Signs ◽

Rare Condition ◽

Exploratory Laparotomy ◽

Case Presentation ◽

Free Air ◽

Spontaneous Pneumoperitoneum ◽

Upper Abdominal ◽

Emergent Laparotomy

Abstract Background Pneumoperitoneum commonly occurs as a result of a viscus perforation and usually presents with peritoneal signs requiring emergent laparotomy. Spontaneous pneumoperitoneum is a rare condition characterized by intraperitoneal gas with no clear etiology. Case presentation We herein report a case in which conservative treatment was achieved for an 83-year-old male patient with spontaneous pneumoperitoneum that probably occurred due to duodenal diverticulosis. He had stable vital signs and slight epigastric discomfort without any other signs of peritonitis. A chest radiograph and computed tomography showed that a large amount of free gas extended into the upper abdominal cavity. Esophagogastroduodenoscopy showed duodenal diverticulosis but no perforation of the upper gastrointestinal tract. He was diagnosed with spontaneous pneumoperitoneum, and conservative treatment was selected. His medical course was uneventful, and pneumoperitoneum disappeared after 6 months. Conclusion In the management of spontaneous pneumoperitoneum, recognition of this rare condition and an accurate diagnosis based on symptoms and clinical imaging might contribute to reducing the performance of unnecessary laparotomy. However, in uncertain cases with peritoneal signs, spontaneous pneumoperitoneum is difficult to differentiate from free air resulting from gastrointestinal perforation and emergency exploratory laparotomy should be considered for these patients.

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