Hepatic hydatid cyst perforated into stomach.

Elias, Ossam; Vera, J Escribano; Bustos, F.

doi:10.2214/ajr.167.5.8911217

Cited by 2 publications

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“…Concomitant pleural and biliary rupture is very unusual and considered to be a difficult condition to manage due to high morbidity and mortality 14. Moreover, there are very few case reports which describe fistulisation of hydatid cyst into the stomach 15 16…”

Section: Discussionmentioning

confidence: 99%

Triple communicating complicated hepatic hydatid cyst: an unusual presentation and laparoendoscopic management

et al. 2014

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SUMMARYEchinococcal disease in humans had been widely reported in the literature for its unusual presentation and location. We discuss a rare case of suppurated left hepatic hydatid cyst with contaminant transdiaphragmatic rupture communicating into the right pleural cavity along with fistulisation of cyst into the left hepatic duct and stomach which is very rare according to our knowledge. A 65-year-old man presented to us with features of cholangitis and sepsis. Initial radiological investigations revealed multiloculated cystic mass in the left lobe of cirrhotic liver communicating with the left hepatic duct and extending to the right pleural cavity with dilated common bile duct. Endoscopic retrograde cholangiopancreatography confirmed the diagnosis yielding hydatid membranes with presence of transgastric fistula in the left hepatic duct and provided postoperatively continuous internal drainage. Old age, complicated cyst, compromised respiratory status, sepsis and cirrhotic liver precluded us to plan for conservative surgical approach (laparoscopic drainage of mediastinal contents) with successful outcome. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Triple communicating complicated hepatic hydatid cyst: an unusual presentation and laparoendoscopic management

et al. 2014

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Sonographic and computed tomographic demonstration of hydatid cysts communicating with the biliary tree

Valle‐Sanz

Lorente-Ramos

2004

J of Clinical Ultrasound

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Hepatic hydatid disease is usually silent and discovered incidentally. Rupture of a hydatid cyst into the biliary tree is a serious complication and produces a clinical picture of biliary obstruction. We present the cases of 2 patients who had only nonspecific symptoms and laboratory test results indicative of biliary tract obstruction. The results of sonographic examinations of both patients strongly suggested the presence of hepatic hydatid cysts communicating with the biliary tree. CT examination provided additional information in 1 patient but only confirmed the sonographic findings in the other. Both cases were surgically confirmed. Demonstration of the cyst and intrabiliary hydatid contents should form the basis for the diagnosis of a hydatid cyst's rupture into the biliary tree; detecting the point of communication further supports the diagnosis. An accurate preoperative diagnosis of this disease is essential for its prompt surgical management.

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Hepatic hydatid cyst perforated into stomach.

Cited by 2 publications

References 0 publications

Triple communicating complicated hepatic hydatid cyst: an unusual presentation and laparoendoscopic management

Triple communicating complicated hepatic hydatid cyst: an unusual presentation and laparoendoscopic management

Sonographic and computed tomographic demonstration of hydatid cysts communicating with the biliary tree

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