Department of Gastrointestinal Surgery, Sahloul Hospital, University of Sousse, Sousse, Tunisia.
Department of Gastrointestinal Surgery, Synergy Institute of Medical Sciences, Dehradun, India.
J Int Med Res. 2023 Aug;51(8):3000605231191018. doi: 10.1177/03000605231191018.
Hydatid disease (HD) is a worldwide parasitic disease. HD is endemic in many sheep- and cattle-raising areas, with a high prevalence of 5% to 10% in the Mediterranean region. Fistulation of liver hydatid cysts (LHC) in the bile ducts is the most common complication, followed by rupture of cysts in the peritoneal and thoracic cavities. Vascular complications are a rare complication of HD. We describe the case of a 70-year-old woman who was admitted with the chief complaint of pain in the abdominal right upper quadrant for 6 months. Abdominal computed tomography revealed a large LHC in the right liver that had ruptured into the right portal vein branch, with venous thrombosis. Intraoperatively, the right portal vein was opened longitudinally, and the hydatid contents were evacuated. Right hepatectomy was performed to completely excise the LHC. The penetration of a cyst into an adjoining vessel is very rare, and portal vein invasion by HD is extremely rare, with only 10 cases published in the literature, to the best of our knowledge.
包虫病（HD）是一种全球性寄生虫病。HD 在许多绵羊和牛养殖区流行，在地中海地区的患病率高达 5%至 10%。肝包虫囊肿（LHC）在胆管中的瘘管是最常见的并发症，其次是囊肿在腹膜和胸腔中的破裂。血管并发症是 HD 的罕见并发症。我们描述了一位 70 岁女性的病例，她因右上腹疼痛 6 个月为主诉入院。腹部计算机断层扫描显示右肝有一个大的 LHC，已破裂进入右门静脉分支，并伴有静脉血栓形成。术中，纵向切开右门静脉，排出包虫内容物。行右半肝切除术以完全切除 LHC。囊液渗透到毗邻的血管中非常罕见，HD 侵犯门静脉极为罕见，据我们所知，文献中仅报道了 10 例。
