Jurnalul de Chirurgie
ISSN: 1584 - 9341
Vol.1 Nr.2 - aprilie - iunie 2005
 
     ENGLISH

  :

NUMARUL 2, VOL. 1, 2005

MULTIMEDIA

COMPLICATED HYDATID CYST OF THE LIVER. CASE REPORT
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
Full text: Format Multimedia - HTML,    Format PDF (romana)


Abstract:

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

Correspondence: etarco@iasi.mednet.ro