Combination of traditional open and perkutaneous-transhepatic echinococcectomy for multiple liver echinococcus cysts

Abstract

   The paper presents a case of the practice of diagnosis and surgical treatment of a 26-year-old woman with multiple liver echinococcosis. The diagnosis was established on the basis of ultrasound. The cyst in the left lobe located partially extreparenchymatous. An open drainage of the residual cavity was performed. According to intraoperative ultrasound data, there was also a second cyst located deep in the projection of VII and VIII segments with signs of suppuration. Due to the threat of massive bleeding and trauma to the liver tissue, it was decided to perform a transhepatic puncture of the cyst. Approximately 200 ml of thick pus was released. The cyst was dreined by echinococcectomy with «pig tail» 16Fr drainage. The postoperative period is also conservative complications. The patient was discharged on the 14 th day after surgery in Key multiple hydatid cysts.