Hydatid Cysts of the Liver - Diagnosis, Complications and Treatment

Derbel, Fethi; Mabrouk, Mohamed Ben; Hamida, Mehdi Ben Hadj; Mazhoud, Jaafar; Youssef, Sabri; Ali, Ali Ben; Jemni, H.; Mama, N.; Ibtissem, Hasni; Nadia, Arifa; Ouni, Chedia El; Naija, Walid; Mokni, Moncef; Hamida, Ridha Ben Hadj

doi:10.5772/48433

Cited by 31 publications

(41 citation statements)

References 42 publications

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“…1 This case is consistent with previous studies in risk factor because the patient's family had sheep farming and also dogs are roaming near the house and she is from Kadapa district, where prevalence is thought to be high. E. granulosus tends to produce a typical large, single, round or ovoid, well-defined hydatid cyst and is the more prevalent species in sheep and cattle-raising areas, such as Central Europe, Africa, South America, New Zealand, Australia, Central Asia, and China.…”

Section: Discussionsupporting

confidence: 81%

“…This is because of scolices present along the inside border of germinal epithelium, which are responsible for generation and development of thee other layers. 1 This suggests that failure of therapeutic intervention had lead to the regeneration of cyst. Previous literature suggest that those cysts that escape the hepatic filtering can enter the lungs from where they can migrate to disseminated organs leading to several complications.…”

Section: Discussionmentioning

confidence: 99%

“…Previous literature suggest that those cysts that escape the hepatic filtering can enter the lungs from where they can migrate to disseminated organs leading to several complications. 1 USG chest revealing thick septations were suggestive of loculated effusion and was advised to go for CT chest to know the underlying cause. CT chest revealed that it was hydatidosis of lung with internal loculations of multiple hydatid cysts in the right lobe and a cyst with calcified wall in the left lobe, which caused pleural effusion.…”

Section: Discussionmentioning

confidence: 99%

“…5 Hydatid cyst usually affects the liver (50-70%), followed by lungs (15-30%) and rarely in other organs like spleen, kidney, bones and brain. 1,7 Clinical manifestations vary based on the organ affected and the load and size of cyst affecting the organ. Usually, patient may remain asymptomatic for many years because cyst grows only 1-3cm per year, due to which many cases may go undiagnosed.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4] It is most commonly caused by the species Echinococcus granulosus and Echinococcus multilocularis that vary in geographic distribution. 2 It's of major public health importance especially in sheep farming areas like Central Europe, Africa, South America, Newzeland, Australia, Central Asia and china because sheep is the intermediate host (4) .…”

Section: Introductionmentioning

confidence: 99%

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Case report on hydatid cyst of the liver progressed to the lungs

Nethi

Biradavolu

Prasad

2017

Int J Basic Clin Pharmacol

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Hydatid liver disease is commonly found in sheep farming areas. Hydatid cysts are confined to the liver and lungs in common. Many reports on hydatid cysts of liver and lungs were reported individually. Here, we report a case of hydatid cyst of the liver leading to the development of cysts in the lungs. The patient had previously underwent surgery for the removal of hydatid cysts in the liver but chemotherapy with albendazole was neither initiated immediately nor continued for 3 to 6 weeks after initiation. Later she presented with shortness of breath and cough along with fever and chills, for which she was diagnosed to have pleural effusion confirmed with pleural fluid analysis showing increase in ADA (Adenosine deaminase) and protein levels and USG (Ultrasonography) demonstrating loculations. Inspite of specific therapy, pleural effusion was not relieved and she was advised for CT chest which revealed multiple cysts in the lung. Suspecting for the liver cysts, USG abdomen was advised and it confirmed the presence of hydatid cysts in the liver. This helped to draw a conclusion that failure of earlier surgical intervention i.e excision of hydatid cyst of the liver lead to the development of cyst in the lungs that presented as pleural effusion. This case highlights the importance of chemotherapy along with surgical intervention before and after the surgery.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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