Surgical Management of a Hydatid Cyst of the Hepatic Dome Ruptured into the Biliary Tree

MRCS,; CABS,; J. Awad, Ali

	Surgical Management of a Hydatid Cyst of the Hepatic Dome Ruptured into the Biliary Tree
Journal of the Faculty of Medicine
Article 1, Volume 51, Issue 4, 2009, Pages 459-460
Authors
; ; Ali J. Awad
Abstract
Summary: Background: Hydatid disease remains an important & challenging medical problem. Case report: A62 year old male patient was admitted complaining of upper abdominal discomfort. Six days earlier he suffered from acute pain in the right upper quadrant, mild systemic allergic manifestation, a fever of 38.5oC and chills. He was managed by a new surgical approach of myoplasty of the right hemidiaphragm combined with preoperative decompression of the bile duct by an endoscopic sphincterotomy. A case search identified study describing rupture of a hydatid cyst of the hepatic dome into biliary tract. The incidence of intrabiliary rupture of hepatic hydatid cysts is 25% in patients treated with external surgical drainage for liver hydatid cysts. Postporative external biliary fistula have been reported in 27.5%. Conclusion: this procedure may require less time (because liver mobilization is not necessary) and allows for easier abdominal reoperation in the future. The simplicity of the technique allows for a more reliable alternative to the treatment of the hydatid cyst located over the superior-posterior aspects of the liver. Key words: Hydatidosis- Hydatid disease- liver- omentoplasty- myoplasty technique- Echinococcus.
Keywords
Hydatidosis; Hydatid disease; Liver; omentoplasty; myoplasty technique; Echinococcus

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