Management of Cystic Disease of the Liver

Doty, Jeffrey E.; Tompkins, Ronald K.

doi:10.1016/s0039-6109(16)44786-9

Cited by 61 publications

(45 citation statements)

References 17 publications

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“…Cystic hydatid disease is the most common, and is caused by E granulosis, a canine cestode that inhabits the small intestine of dogs, wolves and possibly foxes (4). Alveolar hydatid disease is less common and is caused by E multilocularis (4,5). Cystic hydatid disease is endemic in many parts of the world, especially in sheep-raising areas.…”

Section: Discussionmentioning

confidence: 99%

Canadian‐Acquired Hydatid Disease: A Case Report

Saghier

Taylor

Greenberg

2001

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Echinococcal cysts are unusual in Canada, and most cases seen are in immigrants. In northern Canadian communities,Echinococcus granulosisinfection occasionally is acquired from dogs that feed on the entrails of caribou or moose. Seventeen patients with Canadian-acquired hydatid cysts were seen over an 11-year period. One challenging case is described in detail. An 18-year-old aboriginal woman presented with jaundice, pain, lower extremity edema and coagulopathy from a 26 cm echinococcal hepatic cyst. She was successfully treated with a combination of oral albendazole, percutaneous drainage and surgery. One-year follow-up showed no recurrence of disease. The management options for echinococcal cysts are extensively reviewed.

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Section: Discussionmentioning

confidence: 99%

Canadian‐Acquired Hydatid Disease: A Case Report

Saghier

Taylor

Greenberg

2001

Canadian Journal of Infectious Diseases and Medical Microbiolog

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“…It has been reported to be associated with hepatic teratoma, hepatolithiasis, or hepatic cysts with chronic inflammation and metaplasia [42,[48][49][50][51]. Because of portal vein invasion and disseminated metastases, the prognosis is very poor, with no survival longer than 1 year ever having been reported [42,52,53]. Metastatic SCC of the liver mostly originates from nasopharyngeal cancer, cervical cancer, lung cancer, or upper esophageal cancer.…”

Section: Squamous Cell Carcinomamentioning

confidence: 99%

Rare hepatic malignant tumors: dynamic CT, MRI, and clinicopathologic features: with analysis of 54 cases and review of the literature

Tan

Xiao

2012

Abdom Imaging

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“…7 The most common symptom in hydatid cyst of the liver is vague abdominal pain, being present in 80% of the cases. 8 However, this patient had no such complaint. The painful cutaneous abscesses probably overshadowed any such pain, or perhaps the pain threshold is relatively high in this group of people.…”

Section: Discussionmentioning

confidence: 72%

Hydatid Cyst of the Liver Presenting as Cutaneous Abscesses

Vahedian-Ardakani

1997

Ann Saudi Med

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J Vahedian-Ardakani, Hydatid Cyst of the Liver Presenting as Cutaneous Abscesses. 1997; 17(2): 235-236 Hydatid disease is a parasitic infestation of humans and herbivorous animals, caused by Echinococcus granulosus. Dogs and some wild carnivores, like foxes, are definitive hosts, harboring worms in their intestines. Eggs are passed in feces and eaten by intermediate hosts, and larvae encyst in the liver, lungs and other organs. A man presented with two cutaneous abscesses in the right lower part of his chest wall. Further examination disclosed a hydatid cyst measuring 91x111 mm in diameter in the lower part of the right lobe of the liver, communicating with the cutaneous abscesses. The case is reported because of its unusual presentation. Case ReportA 40-year-old male was admitted with two reddish and tender subcutaneous masses in the right lower part of his chest wall at the posterior axillary line, which had developed slowly for one month prior to admission. He is a worker, dwelling in the rural areas of Bam, a city in Kerman province, and he had close contact with cattle and dogs. The subcutaneous masses were 8x10 and 6x7 cm in diameter, respectively, and the overlying skin was thin and inflamed ( Figure 1). They were typical abscesses just about to break through the skin. Sonography disclosed an echogenic mass with echo-free areas measuring 91x111 mm in diameter in the lower part of the right lobe of the liver. Abdominal CT scan could not be performed at this time. Plain x-rays of the chest and abdomen were unremarkable. Open surgical drainage of the abscesses was attempted; they contained thick pus, whitish wrinkled cystic structures and yellowish gelatinous material.After removing the contents of the cutaneous abscess, the floor of the abscess was explored with an index finger. No obvious communication tract was found at that time. Abscess fluid was sent for routine culture, which was negative. No Gram's stain, AFB stain, anaerobic culture or culture for mycobacterium was performed. Pathologic examination identified the cystic structures as hydatid cysts with acute inflammation. A CT scan of the liver after abscess drainage revealed a large, round mass with a calcified rim in the lower part of the right hepatic lobe, having close contact with the cutaneous abscesses (Figure 2). The CT scan was characteristic of hydatid cyst of the liver. The cyst was surgically excised; it did not contain any fluid, but was filled with hundreds of daughter cysts and large amounts of a yellowish gelatinous material, amounting to one liter overall. A communicating tract was found between the liver cyst cavity and the cutaneous abscesses. The pathology report confirmed hydatid cyst of the liver.

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Management of Cystic Disease of the Liver

Cited by 61 publications

References 17 publications

Canadian‐Acquired Hydatid Disease: A Case Report

Canadian‐Acquired Hydatid Disease: A Case Report

Rare hepatic malignant tumors: dynamic CT, MRI, and clinicopathologic features: with analysis of 54 cases and review of the literature

Hydatid Cyst of the Liver Presenting as Cutaneous Abscesses

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