Original communication| Volume 79, ISSUE 5, P544-548, May 1976

Thoracic problems associated with hydatid cyst of the dome of the liver

  • Hagop D. Yacoubian
    Reprint requests: Hagop D. Yacoubian, M.D., Associate Professor of Surgery, American University Medical School, Beirut, Lebanon.
    Department of Surgery, American University Medical School, Beirut, Lebanon
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      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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        • Atlas D.H.
        • Kamenear H.
        Rupture of echinococus cysts into the bile ducts simulating stones in the common duct.
        Am. J. Med. 1952; 13: 384
        • Carrodus A.
        Intrabiliary rupture of hydatid cysts of the liver. Report of five cases.
        Med. J. Aust. 1935; 2: 714
        • Dagher I.K.
        • Hovnanian A.P.
        Intrabiliary rupture of hydatid cyst of the liver.
        Ann. Surg. 1955; 141: 263
        • Deve F.
        L'ouverture des kystes hydatiques du foie dans les voies biliares.
        Extrait de la normandie medicale. Oct. 1932;
        • Gennaro J.
        Echinococcus cyst of the liver simulating a stone in the common bile duct.
        J. Int. Coll. Surg. 1940; 3: 342
        • Hankins J.R.
        Management of complicated hepatic hydatid cysts.
        Ann. Surg. 1963; 158: 10
        • Jidejian Y.
        Hydatid disease.
        Surgery. 1953; 34: 155
        • Jidejian Y.
        Collective review of hydatid disease.
        J. Int. Coll. Surg. 1957; 28: 125
        • Lagrot F.P.
        • Coriat P.
        • Laffarque J.
        • et al.
        Les kystes hydatiques calcifies.
        Ann. Chir. (Paris). 1961; 15: 133
        • Matossian R.M.
        • Kane G.J.
        • Chantler S.N.
        • et al.
        The specific immunoglobulin in hydatid disease.
        Immunology. 1972; 22: 423
        • Susman M.P.
        Hydatid disease as it affects the thoracic surgeon.
        J. Thorac. Surg. 1953; 26: 111
        • Wilson W.W.
        Hepatic hydatid disease.
        Br. J. Surg. 1950; 37: 453
        • Zwar B.T.
        Intra-biliary rupture of an hepatic hydatid cyst.
        Aust. N. Z. J. Surg. 1931; 1: 97