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Abstract
Twenty patients with hydatid cyst of the dome of the liver are presented. In ten there
were significant associated intrathoracic complications including pleural effusion,
pleural empyema, erosion through the diaphragm into lung, various degrees of pneumonitis
or pulmonary abscess, or severe destruction of both diaphragm and right lower pulmonary
lobe. Bronchobiliary fistula was demonstrated at operation in five patients. Four
patients had obstructive jaundice due to intrabiliary rupture of a liver hydatid.
In 19 patients the cysts in the right lobe of the liver were evacuated through a right
thoracotomy and incision of the diaphragm. In four of these, additional pulmonary
resection was carried out. In one patient with left pleural empyema, tube drainage
followed by rib resection was instituted. Two patients had common duct drainage for
relief of obstructive jaundice. In 13 patients the ectocyst cavity was drained; in
seven it was filled with saline and closed. One patient required evacuation and open
packing of the right upper quadrant and lower right hemithorax. Thoracotomy is mandatory
in patients with hydatid cyst of the dome of the liver for easier approach to the
cyst and for management of coexisting intrathoracic complications.
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Article info
Publication history
Accepted:
October 20,
1975
Identification
Copyright
© 1976 Published by Elsevier Inc.
