A Conservative Management of Spontaneously Ruptured Liver Hydatid Cyst

Obeid, Miriam; Mansour, Subhi; Damouny, Mira; Farah, A; Halloun, Kenan; Marjiyeh, Rozan; Ghalia, Jawad; Khuri, Safi

doi:10.14740/gr1373

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…Although there are case reports in the literature with nonoperative follow-up ( 9 ), surgery remains the gold standard treatment in perforated hydatid cyst patients due to the risk of anaphylaxis. Two surgical approaches can be used.…”

Section: Discussionmentioning

confidence: 99%

A Troublesome Complication of Hydatid Cysts; Intra-abdominal Rupture: A 10-Year Study from a High-Volume Center

Yönder,

Berhuni,

Elkan

et al. 2024

IJPA

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Background: Hydatid cyst is a parasitic infection, often caused by Echinococcus granulosus. Although it is classified as a benign disease, cyst ruptures in the abdomen can be fatal. Ruptures occur spontaneously or after trauma. We aimed to report data from patients who underwent emergency surgery due to spontaneous intra-abdominal hydatid cyst rupture. Methods: Upon a retrospective review of the records at Department of General Surgery, Faculty of Medicine, Harran University, Şanlıurfa, Turkey, we found that 34 cases were operated on due to hydatid cyst rupture between January 2012 and October 2022. All patients were operated on in an emergency, and partial cystectomy, intra-abdominal irrigation, and drainage were performed using laparotomy. The patients were evaluated in terms of age, sex, symptoms, radiological findings, laboratory results, intraoperative findings, and postoperative follow-ups. Results: Twenty-two (64.7%) female and 12 (35.3%) male patients were enrolled. The mean age was 39.1 (±17.58) years. All patients experienced spontaneous rupture. The ruptured cyst was found in the liver in 32 patients (94%), the spleen in 1 patient (3%), and the pelvis in 1 patient (3%). The diagnosis was determined using ultrasonography in 12 (35.3%) patients, computed tomography in 21 (61.8%) patients, and magnetic resonance imaging in 1 (2.9%) patient. All patients exhibited acute abdomen and leukocytosis. The average length of hospital stay was 5.14 (±1.37) days. Conclusion: Hydatid cyst rupture should be considered in cases of acute abdomen, particularly in regions where the disease is endemic, as in our region. The ruptured hydatid cyst was primarily observed in the liver (94.11% of cases).

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Section: Discussionmentioning

confidence: 99%

A Troublesome Complication of Hydatid Cysts; Intra-abdominal Rupture: A 10-Year Study from a High-Volume Center

Yönder,

Berhuni,

Elkan

et al. 2024

IJPA

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“…In specific cases where there is rapid hemodynamic improvement, it may be recommended to start with a conservative management approach. This could potentially prevent the need for suboptimal treatments, like conservative surgery, that may result in higher rates of hydatid cyst recurrence in the future [12].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Intraperitoneal Rupture of Hydatid Cysts of the Liver with Encapsulating Peritonitis: A Case Report

Jbilou

Aggouri

Tarif

et al. 2023

IJMPCR

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Background: Spontaneous rupture of a hepatic hydatid cyst resulting in biliary peritonitis is an infrequent but severe complication that requires urgent surgical intervention and has high rates of morbidity and mortality. There are very few reported cases of this complication in the medical literature. Case Presentation: We present an unusual case of a 64-year-old male who presented with acute peritonitis due to biliary peritonitis resulting from the spontaneous rupture of a large hydatid cyst of the liver, as seen on contrast-enhanced computed tomography, which also showed intraperitoneal fluid. During the operation, approximately 4L of infected bile was found in the peritoneal cavity, and a cystobiliary communication was observed with rupture of the anterior wall of the cyst. Treatment involved unroofing the cyst and closing the communication. The patient was free of recurrence and in good health after 6 months of follow-up. Conclusion: Although this complication is rare, it should be considered in the differential diagnosis of acute abdominal pain in patients living in endemic areas.

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“…The rupture of a cyst is often a clinically dramatic event. In fact, data reported in the literature show that all cases of spontaneous intraperitoneal ruptured hepatic echinococcosis were treated by emergency surgery, except one case that was treated successfully by initial conservative measures, followed by elective radical surgery two months later [ 14 ]. Therefore, our case report was a particularly complex picture of disseminated echinococcosis following a clinically silent rupture of a hepatic cyst that had a favorable conclusion, demonstrating that long-term treatment with ABZ is possible, at least in the absence of symptoms due to mass effects.…”

Section: Discussionmentioning

confidence: 99%

Very Prolonged Treatment with Albendazole of a Case of Disseminated Abdominal Cystic Echinococcosis

Buscemi,

Randazzo,

Buscemi

et al. 2023

TropicalMed

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Cystic echinococcosis is a zoonosis caused by the ingestion of food or water contaminated by Echinococcus eggs. E. granulosus is the most common causative agent of cystic echinococcosis that still has a relevant incidence in Italy, especially on the islands of Sicily and Sardinia. We report the case of a 64-year-old man with disseminated abdominal cystic echinococcosis (liver, spleen, peritoneum). The patient was asymptomatic and non-eligible for surgical treatment. Treatment with albendazole 400 mg/twice daily was started in 2012 for 15 cycles (each cycle consisted of three 28-day treatments at 14-day intervals) over 10 years for a total of 1260 days of treatment. Serum anti-Echinococcus antibody titers and imaging (echography, TC) were evaluated to monitor the evolution of the disease. Imaging techniques documented the regression of all cyst lesions, but it was less evident for the peritoneal localizations that still are in follow-up. In this case, the prolonged treatment with albendazole was effective, safe and free of side effects. Until today, the patient displays a good clinical condition.

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A Conservative Management of Spontaneously Ruptured Liver Hydatid Cyst

Cited by 6 publications

References 12 publications

A Troublesome Complication of Hydatid Cysts; Intra-abdominal Rupture: A 10-Year Study from a High-Volume Center

A Troublesome Complication of Hydatid Cysts; Intra-abdominal Rupture: A 10-Year Study from a High-Volume Center

Spontaneous Intraperitoneal Rupture of Hydatid Cysts of the Liver with Encapsulating Peritonitis: A Case Report

Very Prolonged Treatment with Albendazole of a Case of Disseminated Abdominal Cystic Echinococcosis

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