Abstract
Hydatid disease is quite prevalent in India; common in most of the states, of which Andhra Pradesh and Tamil Nadu predominate. Hydatid disease is mainly caused by infection of the tapeworm Echinococcus granulosus. We present a rare case of left & right hepatic hydatid cyst with transdiaphragmatic communication into the right pleural cavity along with communication with large cyst cavity below the anterior abdominal wall extending till the urinary bladder at infra-umblical region & a separate cyst at the splenic hilum. The anatomic location of the lesions are more important than any other peculiarity when laparoscopic management is used. The aim of this report is to discuss the effects and feasibility of laparoscopic treatment of left & right hepatic hydatid cyst. The procedure is feasible and safe, offering all the advantages of laparoscopic surgery.
Keyword: Laparoscopy, Liver, Spleen, Hydatid Cyst.
References
- Kayal A, Hussain A (2014) A comprehensive prospective clinical study of hydatid disease. ISRN Gastroenterol 2014: 514757.
- Siddharth S Rao BM, Ravindra Narang (2012) The spectrum of hydatid disease in rural central India: An 11-year experience. Annals of Tropical Medicine & Public Health 5: 225-230.
- Moro P, Schantz PM (2009) Echinococ-cosis: a review. Int J Infect Dis13:125-133.
- Nunnari G, Pinzone MR, Gruttadauria S, Celesia BM, Madeddu G, et al. (2012) Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol 18: 1448-1458.
- Khanfar N (2004) Hydatid disease: a review and update. Current Anaesthesia & Critical Care 15: 173-183.
- Ustunsoz B, Akhan O, Kamiloglu MA, Somuncu I, Ugurel MS, et al. (1999) Percutaneous treatment of hydatid cysts of the liver: long-term results. AJR Am J Roentgenol 172: 91-96.
- Dervenis C, Delis S, Avgerinos C, Madariaga J, Milicevic M (2005) Changing concepts in the management of liver hydatid disease. J Gastrointest Surg 9: 869-877.
- Cirenei A, Bertoldi I (2001) Evolution of surgery for liver hydatidosis from 1950 to today: analysis of a personal experience. World J Surg 25: 87-92.
- Prousalidis J, Tzardinoglou E, Kosmidis C, Katsohis K, Aletras O (1999) Surgical management of calcified hydatid cysts of the liver. HPB Surg 11: 253-259.
- Safioleas M, Misiakos E, Manti C, Katsikas D, Skalkeas G (1994) Diagnostic evaluation and surgical management of hydatid disease of the liver. World J Surg 18: 859-865.
- Alonso Casado O, Moreno Gonzalez E, Loinaz Segurola C, Gimeno Calvo A, Gonzalez Pinto I, et al. (2001) Results of 22 years of experience in radical surgical treatment of hepatic hydatid cysts. Hepatogastroenterology 48: 235-243.
- Seven R, Berber E, Mercan S, Eminoglu L, Budak D (2000) Laparoscopic treatment of hepatic hydatid cysts. Surgery 128: 36-40.
- Ramachandran CS, Goel D, Arora V (2001) Laparoscopic surgery in hepatic hydatid cysts: a technical improvement. Surg Laparosc Endosc Percutan Tech 11: 14-18.
- Bensaadi H, Champault G (2004) Laparoscopic hand-assisted surgery for hydatid cysts of the liver. Surg Laparosc Endosc Percutan Tech 14: 91-92.
- Skroubis G, Vagianos C, Polydorou A, Tzoracoleftherakis E, Androulakis J (2002) Significance of bile leaks complicating conservative surgery for liver hydatidosis. World J Surg 26: 704-708.
Corresponding Author
Dr Evith Pereira
Department of Pathology, MGM Medical College, Navi -Mumbai
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i12.98
