Hydatid Cyst of Liver Ruptured in the Portal Vein
Journal Title: Journal of Clinical and Medical Research - Year 2020, Vol 2, Issue 4
Abstract
Introduction: The rupture of a hydatid liver cyst in the portal system is an exceptional complication. It has been reported only few observations in the world literature. We report a case a patient that we operated on for a complicated hydatid liver cyst. Observation: This is a 46-year-old patient, a professional driver with a hunting dog hospitalized in the surgical department for obstructive jaundice. Abdominal ultrasonography, computed tomography and magnetic resonance imaging diagnosed 3 hydatid cysts in stage III of Gharbi accompanied by partial thrombosis of the portal vein with an absence of visualization of its right branch. The exploration operation revealed the existence of 3 hydatid cysts that communicate with each other and destroy half of the right liver. At the end of the total cystectomy, a communication of the cyst with the right branch of the portal vein was highlighted and the evacuation of the daughter vesicles followed by a major hemorrhage. The daughter vesicle was evacuated and the right branch of the portal vein was ligated and the bile ducts drained by a transcystic drain. The postoperative complications were complicated by a biliary fistula which dried up on the 19th postoperative day. The patient was discharged from the service on the 30th postoperative day. Currently, he is on Albendazole tablet 400mg / day with well health. Conclusion: The rupture of a hydatid cyst in the portal system remains rare and its diagnosis is well established by modern examinations such as ultrasound, computed tomography and magnetic resonance imaging. The treatment involves surgery and Albendazole but remains quite difficult.
Authors and Affiliations
Salah Berkane*, Salim Belkherchi, Nadia Messaoudi, Djallal Hassani and Youcef Mahmoudi
Keywords
Related Articles
- EP ID EP708400
- DOI https://doi.org/10.37191/Mapsci-2582-4333-2(4)-043
- Views 60
- Downloads 0
Peer Review of Teaching: Effective Practice
Peer review is the process of evaluating the work or activity of a person with competence in the field which is categorized by type of activity and by occupation or theme [1]. In medical education filed, it helps educato...
Health-related Quality of Life among Patients with Chronic Kidney Disease of Unknown Etiology (CKDu) of an agricultural Community in Kebithigollawa, Sri Lanka
Background: The significant increase in the burden of chronic kidney disease of unknown etiology (CKDu) of Sri Lanka has led to evaluate the factors related to physical, social and mental aspects of health-related qualit...
Rares Diseases and Handicap: State of the Medical, Social and Health Policy in Developing Countries. Cameroon Case: About One Case: Cushing Disease
Rare's diseases and orphan's diseases, disability (orhandicap) are a reality throughout the world and a real public health problem in developing countries. The great precariousness in which the populations live increases...
Percutaneous Transluminal Angioplasty In The Treatment Of Diabetic Foot
Background: Diabetic foot is the foot tissue damage, ulceration, secondary segmental necrosis in diabetic patients. The prevalence of diabetes is predominantly due to long-term high blood sugar, high blood lipids in the...
Editor Note on SALBUTAMOL: Historical Reality: A Saving Life in the Asthmatic; and Doping for the Sportsman
Asthma of the Greek "asthma" means little or no breath. The beliefs of the ancient times cite as the causes of this disease the cooling and humidity of the lung, in the Middle Ages, the first treatise on asthma offers va...