Giant hepatic hydatid cyst: A case report

doi:10.3748/wjg.v13.i16.2388

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Apr 28, 2007 (publication date) through May 3, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Gastroenterol. Apr 28, 2007; 13(16): 2388-2389
Published online Apr 28, 2007. doi: 10.3748/wjg.v13.i16.2388

Giant hepatic hydatid cyst: A case report

Ali Ezer, Tarık Zafer Nursal, Turgut Noyan, Gökhan Moray

Ali Ezer, Tarık Zafer Nursal, Turgut Noyan, Gökhan Moray, Department of General Surgery, Baskent University Faculty of Medicine, 06490-Ankara, Turkey

Author contributions: All authors contributed equally to the work.

Correspondence to: Ali Ezer, Baskent Üniversitesi Adana Hastanesi Dadaloglu Mah. 39. Sokak No: 6 Yüregir 01250 Adana, Turkey. ezerali@hotmail.com

Telephone: +90-322-3272727-1134 Fax: +90-322-3271273

Received: December 4, 2006
Revised: January 15, 2006
Accepted: January 31, 2007
Published online: April 28, 2007

Abstract

Large type 1 cysts are prone to perforation. Furthermore, insufficient drainage with subsequent abscess is a frequent problem of large cysts. We report here a case of a 19-year old man who was admitted to the hospital with pain in the right upper quadrant and epigastric region. An asymmetrical right upper quadrant enlargement was detected on physical examination. Ultrasonography and computerized tomography revealed a type 1 giant hydatid cyst in the right hepatic lobe, measuring 16 cm in diameter. During operation, partial cystectomy and drainage were done. The large dead space was obliterated by the ‘sandwich’ method. Omentum and gelatin sponges were used to fill the cavity. The postoperative period was uneventful and the patient was discharged on the 5^th postoperative day.

Keywords: Echinococcosis, Surgery, Residual cavity