Images in GI Infection: Hydatid Disease of Liver

A 32-year male patient presented with generalized weakness and dull aching pain in the abdomen for 1 year. Abdomen ultrasonography revealed a large cystic lesion in the liver. A hydatid serology was strongly positive. An abdominal computed tomography showed a large cystic exophytic lesion from both liver lobes measuring 25 × 7 × 23 cm. There were multiple peripherally arranged daughter cysts ([Fig. 1A]). This patient underwent open, partial cyst excision and repair of cyst biliary communication. Multiple daughter cysts were evacuated ([Fig. 1B]). The residual cavity was packed with omentum. The patient developed a postoperative bile leak, which was managed with endoscopic cholangiography and stenting.

Fig. 1 (A) Computed tomography showing large cystic lesion replacing whole of the liver parenchyma with multiple daughter cysts. (B) Picture showing evacuated multiple daughter cysts.

Hydatid cyst is a zoonotic disease caused by Echinococcus species. The most commonly infected organ is the liver (50–90%).[1] A surgical partial or complete excision is a main stay of treatment with excellent outcomes.[2]

 

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Conflict of Interest

None declared.

Acknowledgments

None.

Ethical Statement

Informed consent to publish was obtained.

Author Contributions

J.K. wrote the initial draft and H.S. revised it. Both authors approved the manuscript.

Data Availability Statement

All relevant data are provided in the report.

• References

• 1 Safioleas MC, Misiakos EP, Kouvaraki M, Stamatakos MK, Manti CP, Felekouras ES. Hydatid disease of the liver: a continuing surgical problem. Arch Surg 2006; 141 (11) 1101-1108
• 2 Deo KB, Kumar R, Tiwari G, Kumar H, Verma GR, Singh H. Surgical management of hepatic hydatid cysts - conservative versus radical surgery. HPB (Oxford) 2020; 22 (10) 1457-1462

Publication History

Received: 21 January 2022

Accepted: 24 February 2022

Article published online:
22 September 2023