Surgical treatment of liver hydatid cysts

Abstract

The aim should be to provide complete drainage and obliteration of the cavity. Bile leak and biliary obstruction may complicate the postoperative course if bile leakage into the peritoneal cavity and obstruction in the biliary system are missed.

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

“…Obstructive jaundice and/or cholangitis are sensitive indicators of the presence of a frank CBF in more than 60% of the cases (7,11,20,21 If the bile ducts are evaluated with pre-operative ERCP, it is not necessary to do common bile duct exploration (22).…”

Conservative Hepatic Hydatid Cyst Surgery

“…It is helpful to use ERCP or MRCP for the appropriate surgical method in patients with suspected communication with the biliary system. Uncomplicated cases of hepatic hydatid disease can be managed successfully by conservative surgery and the out come do not support the more wide spread use of hepatic resection or pericystectomy advocated by others [18].…”

A case of primary hydatid cyst in the thyroid gland

“…This disease mostly develops due to E. granulosus, and rarely due to E. Multilocularis, with the primary hosts being dogs, and intermediate hosts including cattle, sheep, pigs and human beings (3). The parasite egg that enters the body of an intermediate host is hatched in small intestine and reaches the liver or lung through the portal vein or lymphatic system, thereby creating cystic lesions (4). After that, they may pass through hepatic sinusoids or pulmonary capillary barriers, gain access into the systemic circulation, and invade any organ.…”