Left hepatectomy for hepatic hydatid cyst with intra-biliary rupture: Better to be radical

Raghav Nayar; Vaibhav Kumar Varshney; Sabir Hussain; Taruna Yadav; Ashok Puranik

doi:10.1016/j.mjafi.2022.01.012

Left hepatectomy for hepatic hydatid cyst with intra-biliary rupture: Better to be radical

Med J Armed Forces India. 2023 Dec;79(Suppl 1):S325-S328. doi: 10.1016/j.mjafi.2022.01.012. Epub 2022 Mar 11.

Authors

Raghav Nayar¹, Vaibhav Kumar Varshney², Sabir Hussain³, Taruna Yadav⁴, Ashok Puranik⁵

Affiliations

¹ Senior Resident (Surgical Gastroenterology), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
² Associate Professor (Surgical Gastroenterology), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
³ Associate Professor (Medical Gastroenterology), Dr. S. N. Medical College, Jodhpur, Rajasthan, India.
⁴ Associate Professor (Diagnostic & Interventional Radiology), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
⁵ Professor (Surgical Gastroenterology), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

PMID: 38144643
PMCID: PMC10746817 (available on 2024-12-01)
DOI: 10.1016/j.mjafi.2022.01.012

Abstract

Echinococcal liver cysts are predominantly located in the right lobe of the liver and are mostly asymptomatic. A frank intra-biliary rupture (IBR) of hydatid cyst is uncommon, having variable clinical presentation and treatment options. We present a case of a 60-year-old male patient who presented with pain in the upper abdomen associated with vomiting but without jaundice. On investigations, he was diagnosed to have a left lobe hepatic hydatid cyst (HHC) with IBR for which left hepatectomy with bile duct exploration was performed. It highlights the benign nature of the disease for which seldom major hepatectomies have to be performed.

Keywords: Bile ducts; Echinococcus; Hepatectomy; Hydatid cyst; Rupture.

Publication types

Case Reports