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. 2022 Apr:93:106898.
doi: 10.1016/j.ijscr.2022.106898. Epub 2022 Mar 1.

Hydatid cyst: Introducing a new surgical approach towards hepato-pulmonary fistula, a case report

Yara Khalifeh  1 , Dalia El Hadi  2 , Hussein Nassar  3 , Walid El Hout  4 , Walid Faraj  5 , Mohammad Khalife  6
Affiliations

Hydatid cyst: Introducing a new surgical approach towards hepato-pulmonary fistula, a case report

Yara Khalifeh et al. Int J Surg Case Rep. 2022 Apr.

Abstract

Introduction and importance: Hydatid disease, caused by the zoonotic parasite Echinococcus granulosus, presents as cysts most commonly in the liver and the lungs. A hepato-pleural fistula is considered one of its complications and surgery remains the mainstay of treatment. A simultaneous invasive thoracic and abdominal access is routinely needed which is accompanied by increased morbidity and mortality.

Case presentation: In this case report, we present an innovative, less invasive, non-classical approach.

Clinical discussion: We introduce a successful transabdominal transdiaphragmatic laparoscopic technique for the management of a hepato-pulmonary fistula secondary to hydatid disease of the liver.

Conclusion: Compared to the classical method, this new surgical approach towards hepato-pulmonary fistula paves the way for minimally invasive surgeries to manage complicated hydatid disease with a lower mortality and morbidity, faster recovery and shorter hospital stay. The work has been reported in line with the SCARE 2020 criteria.

Keywords: Case report; Echinococcus granulosus; Hepato-pleural fistula; Hydatid disease; Laparoscopy; Surgical treatment; Transdiaphragmatic.

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Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this article. They have received no funding from National Institutes of Health (NIH); Welcome Trust; Howard Hughes Medical Institute (HHMI); or other sources.

Figures

Fig. 1
Fig. 1
Chest X-ray preoperatively with blunting at the Right costophrenic angle.
Fig. 2
Fig. 2
Surgical planning with laparoscopic transabdominal approach.
Fig. 3
Fig. 3
Evacuation of the daughter cysts and protoscolice.
Fig. 4
Fig. 4
Drainage of the hydatid liver cyst with its pleural component.
Fig. 5
Fig. 5
Photographic demonstration of the pleuro-biliary fistula after evacuation and drainage.
Fig. 6
Fig. 6
Intra-operative tissue exam pathology report.
See this image and copyright information in PMC

References

    1. Rogan M.T. In: WHO/OIE Manual on Echinococcosis in Humans and Animals: A Public Health Problem of Global Concern. Eckert J., Gemmell M.A., Meslin F.-X., Pawloski Z.S., editors. World Organization for Animal Health; Paris, France: 2001. p. 265. 2001. ISBN 92-9044-522-X. 40. Parasitology 123 (6):562-562. - DOI
    1. Iqbal N., Hussain M., Idress R., Irfan M. Disseminated hydatid cyst of liver and lung. BMJ Case Rep. 2017;2017 doi: 10.1136/bcr-2017-222808. - DOI - PMC - PubMed
    1. Akbulut S. Parietal complication of the hydatid disease: comprehensive literature review. Medicine (Baltimore) 2018;97(21) doi: 10.1097/MD.0000000000010671. - DOI - PMC - PubMed
    1. Mazziotti S., Gaeta M., Blandino A., Barone M., Salamone I. Hepatobronchial fistula due to transphrenic migration of hepatic echinococcosis: MR demonstration. Abdom. Imaging. 2000;25(5):497–499. doi: 10.1007/s002610000080. - DOI - PubMed
    1. Georgescu S., Dubei L., Lăzescu D., Crumpei F., Anton R. Hydatid disease cured by minimally invasive therapy. Roman.J.Gastroenterol. 2004;13(1):43. - PubMed