Nayar Raghav, Varshney Vaibhav Kumar, Hussain Sabir, Yadav Taruna, Puranik Ashok
Senior Resident (Surgical Gastroenterology), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Associate Professor (Surgical Gastroenterology), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Med J Armed Forces India. 2023 Dec;79(Suppl 1):S325-S328. doi: 10.1016/j.mjafi.2022.01.012. Epub 2022 Mar 11.
Echinococcal liver cysts are predominantly located in the right lobe of the liver and are mostly asymptomatic. A frank intra-biliary rupture (IBR) of hydatid cyst is uncommon, having variable clinical presentation and treatment options. We present a case of a 60-year-old male patient who presented with pain in the upper abdomen associated with vomiting but without jaundice. On investigations, he was diagnosed to have a left lobe hepatic hydatid cyst (HHC) with IBR for which left hepatectomy with bile duct exploration was performed. It highlights the benign nature of the disease for which seldom major hepatectomies have to be performed.
肝包虫囊肿主要位于肝脏右叶，大多无症状。肝包虫囊肿的明显胆管内破裂（IBR）并不常见，临床表现和治疗选择各异。我们报告一例60岁男性患者，其表现为上腹部疼痛伴呕吐，但无黄疸。经检查，他被诊断为左叶肝包虫囊肿（HHC）伴IBR，为此进行了左肝切除术及胆管探查术。这凸显了该疾病的良性本质，为此很少需要进行大型肝切除术。
