Pavlidis ET, Symeonidis NG, Psarras KK, Martzivanou EK, Marneri AG, Stavrati KE, Pavlidis TE. Total cysto-pericystectomy for huge echinococcal cyst located on hepatic segment IVb. Case report and review of the literature.
J Surg Case Rep 2021;
2021:rjab002. [PMID:
33569169 PMCID:
PMC7852600 DOI:
10.1093/jscr/rjab002]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 01/02/2021] [Indexed: 02/05/2023] Open
Abstract
Hepatic hydatid disease is located mainly in the right liver. It is usually solitary and asymptomatic; however, a large cyst may cause compression symptoms. We report a case of a huge echinococcal cyst located in segment IVb of the liver in a 39-year-old female, 17 x 11 cm in dimensions, causing persistent epigastric pain and discomfort. The diagnosis was made by a computed tomography (CT) scan, which showed the cystic mass with the characteristic daughter cysts and reactive caps (pericystic wall) consisting of fibrous connective tissue and calcifications. The patient underwent radical resection by total cysto-pericystectomy and had an uneventful postoperative course. Follow-up showed no recurrence in CT and normal liver function test. Total cysto-pericystectomy, as an alternative to hepatectomy, is the preferable choice of radical resection operation, nowadays, in the management of liver hydatid disease even in huge cysts.
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