Hepato-pericardial fistula revealed by a massive pericardial effusion: A case report of an exceptional complication of the hydatid liver cyst

Abstract

Highlights Hepato-pericardial fistula is a very rare complication of hydatid liver cyst. Only 6 cases were previously reported in the literature. The Hepato-pericardial fistula may result in an acute pericarditis, cardiac tamponade and constrictive pericarditis. The delay in diagnosis or management may cause death from anaphylactic shock or tamponade. The optimal treatment is still based on surgery with supportive medical therapy.

A rare case of purulent pericarditis secondary to subdiaphragmatic abscess

“…The purulent pericarditis extending through the diaphragm may form pathological channels due to the acute infl ammation of the abscess and the infl ammatory reaction of the diaphragm. Among them, liver pericardial fi stula is more frequently reported and is mostly related to bacterial liver abscess and amebic liver abscess, [5][6][7] a nd pericarditis caused by subdiaphragmatic abscess is extremely rare. Subdiaphragmatic abscess is often secondary to acute peritonitis or intraperitoneal surgery.…”

The silent invader: a case of intrapericardial hydatid cyst with exceptional pulmonary artery involvement

“…After ingestion, the oncosphere crosses the duodenal mucosa, penetrates the venous and/or lymphatic system, and may affect any part of the body. The liver (70%) and lungs (25%) are the most affected [ 2 ].…”