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Case Reports 2018
Medical Case Reports
ISSN: 2471-8041
Page 68
May 28-29, 2018
London, UK
8
th
Edition of International Conference on
Clinical and Medical Case Reports
Introduction:
Ecchinococcus granulosis infects approximately
13/100.000 people in Greece. 65-70% of ecchinococcal cysts
are found in the liver whereas multiple hepatic localization are
in 25-30% of the cases. Our aim is to present four cases with
ecchinococcus granulosus, and discuss their pre-operative
presentation, the operating treatment and postoperative outcome
Case Description:
We reviewed our files in a three year period
(2014-1016) and we found four patients operated because of liver
hydatid disease:one with ruptured abscess of the cyst,one with
rupture in the bile ducts and two unrupted.
Results:
A 32 year old woman with three large echinococcal cysts
between 10-13cm in different sections of the liver and pressure
findings. Three patients (two males 73 and 54 years old and one
female 57 years old) with echinococcal cysts were found within
the liver. The first patient, age 73 had a ruptured echinococcal cyst
of 11x13cm within the right perirenal space. The second patient
54 years old had obstructive jaundice. All patients received
postoperative chemotherapy except one female patient due to
hepatic malfuncion. The two male patients underwent drainage
of the cysts and had treatment with Albendazole. Drainage tubes
were placed for 2-12 months.
Conclusions:
The hydatid disease is a zoonosos eliminated
in Greece in the last 50 years, but there are still some cases
that produce a great amount of morbidity mainly because of
postoperative complications and reccurences. It is generally
unknown to young surgeons in developed countries and requires
a great amount of patency for surgeons and patients for better
outcomes.
gvelvel@gmail.comHydatid disease of the liver – presentation of four cases and
review of literature
Med Case Rep. 2018, Volume 4
DOI: 10.21767/2471-8084-C1-003
Georgios Velimezis Fedra Menikou, Athanasios Zoikas, Ioulia-Maria Christodou-
lou, Andreas Skarpas, Maria Fakaloy
and
Ioannis Karanikas
Sismanogleio General Hospital, Greece