Giant Echinococcosis of the Liver with Suppuration: A Case Report and Review of the Literature

Cystic echinococcosis (CE) is a common, complex parasitic disease that constitutes a major public health concern. CE demonstrates high endemicity in areas where dogs are used for herding or where animal husbandry practices involve close contact with livestock. It can clinically manifest with a varie...

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Published in:Medicina (Kaunas, Lithuania) Lithuania), 2023-06, Vol.59 (6), p.1070
Main Authors: Kosmidis, Christoforos S, Papadopoulos, Konstantinos, Mystakidou, Chrysi Maria, Sevva, Christina, Koulouris, Charilaos, Varsamis, Nikolaos, Mantalovas, Stylianos, Lagopoulos, Vasileios, Magra, Vasiliki, Theodorou, Vasiliki, Ouzouni, Styliani, Iason Katsios, Nikolaos, Axi, Paraskevi, Sapalidis, Konstantinos, Kesisoglou, Isaak
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Animals
Bile ducts
Case Report
Case reports
cystic echinococcosis
Cysts
Dogs
Echinococcosis
Echinococcus
Echinococcus granulosus
giant-suppurated hydatid cyst
Hospitals
hydatid disease
Hypertension
Infections
Liver
Liver - diagnostic imaging
Liver - pathology
Magnetic Resonance Imaging
Medical imaging
Metronidazole
Pancreatitis
Parasitic diseases
Suppuration
Sutures
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Summary:Cystic echinococcosis (CE) is a common, complex parasitic disease that constitutes a major public health concern. CE demonstrates high endemicity in areas where dogs are used for herding or where animal husbandry practices involve close contact with livestock. It can clinically manifest with a variety of signs and symptoms, such as cholangitis, jaundice, pancreatitis, external biliary fistula, inferior vena cava obstruction, portal hypertension, and superinfection. The latter can notably be related to suppuration, either by rupture or bacteremia. The aim of this study is to report our 76-year-old patient who presented with a primarily infected giant-suppurated hydatid cyst of the liver and its surgical management. In this case, the diagnosis was based primarily on clinical presentation, computed tomography (CT) scan, and magnetic resonance imaging (MRI) of the patient's abdomen. The surgical procedure of choice was the partial retaining of the pericystic membrane and drainage of the cystic contents (partial pericystectomy). The surgical management and meticulous long-term follow-up of our patient produced a positive outcome without any post-operative complications.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina59061070