• Christoforos S Kosmidis, Konstantinos Papadopoulos, Chrysi Maria Mystakidou, Christina Sevva, Charilaos Koulouris, Nikolaos Varsamis, Stylianos Mantalovas, Vasileios Lagopoulos, Vasiliki Magra, Vasiliki Theodorou, Styliani Ouzouni, Iason KatsiosNikolaosNMedical School, Faculty of Health Sciences, University of Ioannina, 45110 Ioannina, Greece., Paraskevi Axi, Konstantinos Sapalidis, and Isaak Kesisoglou.
• European Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, Greece.
• Medicina (Kaunas). 2023 Jun 2; 59 (6).

AbstractPurpose: 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. Methods: 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). Results: The surgical management and meticulous long-term follow-up of our patient produced a positive outcome without any post-operative complications.

14 keywords...

hide…