Rare presentation of Liver hydatid cyst in the porta hepatics: Report five cases and review of literature
1 Department of Thoracic and General Surgery, Aria Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2 Department of gastroenterology, Guilan University of Medical Sciences, Rasht, Iran.
3 Department of Internal Medicine, Inflammatory Lung Diseases Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
4 Department of Physiology, Razi Clinical Research Development Center, Guilan University of Medical Sciences, Rasht, Iran
5 Department of Anesthesiology, Negah Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Research Article
GSC Advanced Research and Reviews, 2024, 21(01), 257–265.
Article DOI: 10.30574/gscarr.2024.21.1.0375
Publication history:
Received on 01 September 2024; revised on 18 October 2024; accepted on 21 October 2024
Abstract:
Echinococcosis remains a significant health hazard in endemic areas, including the Middle East, Mediterranean countries, and Central Asia. The liver is the most common organ involved in the Hydatid Cyst (75%). Theoretically, any lobe could be involved. However, the right lobe is more common. The involvement of the liver dome or posterior segment (7th and 8th segment), and potahepati has not been studied well. Humans are accidentally infected and do not have any role in the life cycle of hydatid cysts. The parasite may infest any body organ, with the liver and lungs being the most involved organs. portahepatis involvement by hydatid cyst is sporadic, with only seven cases published in the review of literature; we present two men, 56 and 62-year-old Persian males and two old females with RUQ pain and ultrasonography (US), computed tomography (CT) and magnetic resonance imaging (MRI) findings show hydatid disease of the liver with a compress of portal vein, hepatic artery, and CBD. Other organs were intact. Their laboratory tests show milled elevation of ALT, AST (98, 89 to 120 to 150 mg), bilirubin(2.5to3.5mg), and alkaline phosphatase (482 to 650mg). Other lab dates were in normal ranges. The patient underwent surgery with laparotomy. After calling the surgery site with the sponge and hypertonic saline, cysts were aspirated and evacuated, and the cavity was filled with omentum(mentoplasty). Hydatid disease is imposing a significant burden on healthcare systems, specifically in developing countries. Manifestations of the disease are often non-specific, while a subset of the infected population remains asymptomatic. Portohepatis obstruction and compressions are rare complications, and it is essential to distinguish other causes of obstruction. The management of these entities requires different approaches. Our approach was surgery with albendazole postoperative.
Keywords:
Echinococcosis Granulosus; Hydatid cyst; Portahepates hydatid cyst; Compression
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