Presentations, diagnosis, treatment and outcome of complicated liver hydatid cysts: from an endemic area

Abstract

Background: Hydatid cysts (HC) can involve all organs of the human body but most often in the liver (77% to 50%) and lungs (35%18%). (HC) is endemic in certain areas of the world as in the Middle and Far East, Iran, Australia, New Zealand, and South America. (HC) remains a considerable public health problem. Methods: In a retrospective study was carried out in north of Iran Guilan Provence. A total of 322 patients who were operated on for 382 (HC in the liver between 2016 to 2020 were evaluated. Patients were divided in tow group complicated (HC) in 87 patients and uncomplicated (HC) in 235 patients.frank intra-abdominal in 15 and frank Intrabiliary rupture in 14, occult Intrabiliary rupture in 32, cyst infection in15, intrapleural and intraparachimal rupturein 10 patients. Results: The patient’s gender included 72% were men and 28% were women with a median age of 18 to 64 years. Abdominal ultrasound, computed tomography, MRCPand ERCP were the diagnosis tools. In interapleural or intraparachymal rupture thoracotomy and laparotomy performed with evacuatin and omentoplaty, capitonnage and decortication.in trapricardial rupture thoracoyomr and pricadiotomy and laparotomy and omentoplasry, pricystectomy or capitonnage was performed There was one mortality. The postoperative morbidity was in 28 patients in complicated cysts and 12 in uncomplicated cysts. Conclusion: Complicated hydatid cyst of the liver can be successfully managed surgically with good long-term results. Complicated liver echinococcosis demonstrates several distinct features that differentiate it from the noncomplicated disease. Frequently severe clinical manifestations, complexity of surgical management, and the increased postoperative complications characterize complicated liver echinococcal disease