COMPLICATED HYDATID CYST OF THE LIVER. CASE
E. Târcoveanu, C. Stanciu*, C. Bradea, Liliana Fortu, Elena
Gologan*, Felicia Crumpei, R. Moldovanu
First Surgical Clinic, „St. Spiridon” Hospital Iasi
*Institute of Hepato-Gastro-Enterology Iasi
University of Medicine and Pharmacy „Gr. T. Popa” Iasi
Jurnalul de chirurgie 2005; 1 (2):232-237
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Hydatid disease of the liver is still endemic in certain parts of
the world (South America, Eastern Europe, Mediteranean countries etc.).
We present a case of liver hydatidosis: a young man, 31 yo, from
endemic aria was admitted in emergency in The First Surgical Clinic
Iasi, for sepsis and jaundice. A complicated hydatid cyst of the liver
(broken in the main biliary duct, with acute hydatid cholecystitis)
was revealed by abdominal ultrasound exam.
An ERCP (Endoscopic Retrograde Colangio-Pancreatography) with endoscopic
sfincterotomy was performed to drainage the main biliary duct. During
the procedure fragments of hydatid membrane was pull out.
A few days after the procedure, patient presented haemobilia, fever
and signs of hepatic failure. He was operated in emergency; we performed
inactivation of the hydatid cyst with oxygenate water, resection of
the pericyst, cholecystectomy, drainage of the main biliary duct by
Kehr „T” tube. Postoperative course was uneventful.
Conclusions: Hydatid cyst of the liver is a serious disease,
with severe complications. Surgical treatment remains the only sure
therapeutic option in complicated liver echinococcosis.
KEY WORDS: HYTADID CYST, LIVER, SURGICAL TREATMENT, ERCP