Giant Hepatic Hydatid Cyst Research Articles

A GIANT HEPATIC HYDATID CYST: CASE REPORT

Hydatid cyst is a general health problem that can be seen in every country, with a higher prevalence in some certain areas. Liver is the most involved organ. The disease is usually asymptomatic. The cyst may enlarge and lead to compressive symptoms or complications through opening to THE biliary system. Although medical agents and surgical interventions have long been used in the treatment of hydatid cyst, minimally invasive percutaneous interventions and laparoscopic surgical interventions are also safely applied in selected patients. In this paper, we presented a case of a giant hepatic hydatid cyst for which we preferred open surgery.

Success in managing a giant hepatic hydatid cyst: a case report of successful conservative surgical intervention in an endemic setting

Introduction and importance: Echinococcosis, also known as a hydatid cyst, arises from a parasitic infection caused by the larval form of the tapeworm Echinococcus granulosus in humans. This endemic disease in Tunisia presents a significant public health challenge. The case highlights the enormous size of the liver hydatid cyst, emphasizing the importance and success of conservative surgical treatment. Case Presentation: A 45-year-old female shepherdess presented with abdominal pain and a mass, diagnosed as a giant hepatic hydatid cyst. A computed tomography scan revealed a dysmorphic liver with a large multivesicular cyst. Surgical intervention included the resection and closure of multiple cystic fistulas. Postoperative recovery was uneventful and at the 6-month follow-up, the patient displayed no indications of recurrence. Clinical discussion: Echinococcosis, prevalent in livestock-farming regions, primarily affects the liver and lungs. It often remains asymptomatic, detected incidentally. Diagnosis relies on imaging, with surgical excision as the primary treatment. Percutaneous options exist but are less effective. Serologies are underused. Management challenges include complications and recurrence. Conservative surgery is common but faces complications. Radical surgery is more effective, albeit complex. Albendazole preoperatively proves promising, reducing cyst viability. Regular follow-up is crucial for recurrence detection. Conclusion: Managing giant hepatic hydatid cysts requires tailored approaches, especially in endemic regions. Our success with conservative surgical treatment highlights its effectiveness in confronting formidable cyst sizes, informing clinical practice, and contributing to the medical literature.

Pre- and postoperative diagnostic of giant hepatic hydatid cyst: a case report and brief literature review

Pre- and postoperative diagnostic of giant hepatic hydatid cyst: a case report and brief literature review

Giant Hepatic Hydatid Cyst with Retroperitoneal Development—Management of Liver Hydatidosis

(1) Background: Infection with Echinococcus granulosus is the cause of hydatid cysts located frequently in the liver and lungs, but also in the kidneys, bones, spleen, brain and muscles. Cystic echinococcosis is sometimes complicated to treat, requiring radical surgery and prolonged medication. The hydatid cyst in the retroperitoneal space is frequently asymptomatic, unless it grows and produces symptoms caused by high intracystic pressure, secondary infection, wall breaking and allergy. (2) Case Report: We present the case of a 47-year old male patient, admitted for a giant bilobed retroperitoneal hydatid cyst. Following diagnosis, the patient was operated on using an anterior midline abdominal approach. The cyst was inactivated, the contents were evacuated and the cavity was drained and cleaned by opening the cyst in the middle area and at its lower pole, respectively. Subsequently, the cyst required re-installation of the drain. The evolution of the case was finally favorable but confirmed that the postoperative evolution of large hydatid cysts can be unexpected and even followed by complications. (3) Conclusions: For the presented case, the classic surgical method was the appropriate choice, considering the large size of the hydatid cyst. Bilobed cysts and those with calcified walls may cause problems with the spontaneous closing of the remaining cavity. For complicated cysts, the treatment is radical or conservative surgery, while for uncomplicated cysts, minimally invasive treatment is an appropriate choice.

Intraperitoneal Rupture of a Giant Hydatid Cyst of Liver- Can Emergency Placement of Intraperitoneal Drain Improve Patient Optimisation!

Hydatid cyst remains a global health problem. Intraperitoneal hydatid cyst rupture is a life-threatening complication because it causes serious hemodynamic instability and allergic reactions. No clearly defined guidelines exist for dealing with ruptured cysts or intraperitoneal spillage, though emergency exploration remains the standard approach. We present here a case of a 35 -year- old woman who developed spontaneous rupture of a Giant hepatic hydatid cyst. However, patient could not be taken up for emergency surgery in view of very poor chest condition. She was managed by placement of an intra peritoneal drain and lavage with hypertonic saline. Subsequently, patient underwent two surgeries for definitive treatment of the giant hydatid cyst. At one year of follow- up, patient has no evidence of any recurrent disease. Intraperitoneal drain placement and lavage with hypertonic saline may be considered an option to contain peritoneal implantations while patient is being optimised for exploration.

Giant hepatic hydatid cyst: one: in difficult hepatic segments VIII and the other: in segment VI

Study present 02 cases of large hepatic hydatid cysts which were very challenging in their management due to their site, the approach taken during surgery and the close proximity to very vital structures. Hydatid cyst as a disease has remained a considerable potential of upsurge and re-emergence in humans. These patients presented with right upper abdominal pain for a prolonged duration. They were diagnosed as hepatic hydatid cysts after investigations. They underwent subtotal cystectomy with omentoplasty with excellent result without any recurrence and a high level of patient satisfaction.

Marked Narrowing of Right Heart Chambers Due to Compression by Giant Hepatic Hydatid Cyst

External compression of the heart may be presented as valvular heart disease. A 50-year-old woman with signs and symptoms of tricuspid stenosis was diagnosed with giant hepatic hydatid cyst. Symptoms were resolved after surgical excision. Echinococcosis should be in mind while evaluating patients with external cardiac compression.

Giant hepatic hydatid cyst with mediastinal extension

Giant hepatic hydatid cyst with mediastinal extension

CT demonstration of pulmonary embolism due to the rupture of a giant hepatic hydatid disease

Hydatid disease can be seen anywhere in the body and presents with a variety of clinical symptoms and imaging features according to its location. In this article, computed tomography features of a giant hepatic hydatid cyst extending into the right atrium and causing pulmonary embolism are presented.

Pedunculated giant hepatic hydatid cyst: Largest ever reported

Hepatic hydatidosis is common in many parts of our country. Largest cyst reported measured 37 × 14.88 × 15.4 cm. We encountered a case of giant hepatic hydatid cyst arising from the left lobe of liver, measuring 45 × 35 × 25 cm. It was completely occupying the peritoneal cavity and had a narrow pedunculated attachment to the liver. This hydatid cyst is larger than the largest reported cyst. Also, a pedunculated hydatid cyst has never been reported. Hence, the report.

Giant hepatic hydatid cyst with sub-fascial extension treated by open minimally invasive surgery: a case report

IntroductionHepatic hydatid disease can be successfully treated by a variety of modalities.Case PresentationWe report a case of a 60 year old male with giant hepatic hydatid disease who presented with a huge cystic mass in the upper abdomen. Diagnosis was confirmed by serology, ultrasonography and CT scan. The patient was treated successfully by open minimally invasive surgery with minimum breaching of the peritoneal cavity using a laparoscopic trocar to evacuate the cyst.ConclusionThe use of a laparoscopic trocar through a small abdominal incision in selected patients with hepatic hydatid disease with subfascial extension can be a safe, minimally-invasive option of treatment

Giant hepatic hydatid cyst: A case report

Large type 1 cysts are prone to perforation. Furthermore, insufficient drainage with subsequent abscess is a frequent problem of large cysts. We report here a case of a 19-year old man who was admitted to the hospital with pain in the right upper quadrant and epigastric region. An asymmetrical right upper quadrant enlargement was detected on physical examination. Ultrasonography and computerized tomography revealed a type 1 giant hydatid cyst in the right hepatic lobe, measuring 16 cm in diameter. During operation, partial cystectomy and drainage were done. The large dead space was obliterated by the 'sandwich' method. Omentum and gelatin sponges were used to fill the cavity. The postoperative period was uneventful and the patient was discharged on the 5th postoperative day.

Giant Hepatic Hydatid Cyst as a Cause of Small Bowel Obstruction

Today, giant hydatid cysts are fairly rare even in endemic areas. We describe a case of an extremely large hydatid cyst of the liver that was causing massive compression of the neighboring organs, giving rise to a subocclusive syndrome of the intestine. After considering the various approaches available for the treatment of this disease, it was decided that radical surgery was still the best therapeutic choice, especially when extremely large cysts are involved. In particular, in clinical situations where it is difficult to perform radical surgical procedures, less aggressive surgery followed by drug treatment should be the treatment of choice.