An uncommon presentation of hepatic hydatid cyst leading to biliary cirrhosis and portal hypertension
Gastroenterology and Hepatology from Bed to Bench,
Hydatid disease is an ongoing issue in endemic areas. Hydatid cysts can be seen in any organ but, liver is one of the most common involved organs. Cystobiliary communication as an overwhelming complication of hepatic hydatid cysts can contribute to the obstructive jaundice, cholangitis, sepsis and even biliary cirrhosis if left untreated. The patient we are trying to present is a 61-year-old farmer who presented with obstructive jaundice, multiple common bile duct stones and biliary cirrhosis attributed to a long-lasting untreated hepatic hydatid cyst. Portal hypertension is introduced to be an uncommon presentation of hydatid cyst. Extrinsic compression of the porta hepatis and obstruction of inferior vena cava are amongst major causes of hydatidosis leading up to portal hypertension as reported in the literature. Portal hypertension in the presented case is proposed to emerge from long-lasting cystobiliary communication ending in biliary cirrhosis.
Keywords: Hepatic, Hydatid cyst, Biliary cirrhosis.
(Please cite as: Asadzadeh-Aghdaei H, Moshari MR, Zandi R, Karimi MA, Salari S, Ketabi Moghadam P. An uncommon presentation of hepatic hydatid cyst leading to biliary cirrhosis and portal hypertension. Gastroenterol Hepatol Bed Bench 2020;13(Suppl.1):S145-S148).
- Hydatid cyst
- Cystobiliary communication
- Portal hypertension
How to Cite
Rostami Nejad M, Nazemalhosseini Mojarad E, Nochi Z, Fasihi Harandi M, Cheraghipour K, Mowlavi GR, et al. Echinococcus granulosus strain differentiation in Iran based on sequence heterogeneity in the mitochondrial 12S rRNA gene. J Helminthol 2008;82:343-7.
Zali MR, Mayumi M, Raoufi M, Nowroozi A. Hepatitis C virus genotypes in the Islamic Republic of Iran: a preliminary study. East Mediterr Health J 2000;6:372-7.
Ramia JM, Figueras J, De la Plaza R, García-Parreño J. Cysto-biliary communication in liver hydatidosis. Langenbecks Arch Surg 2012;397:881-7.
Kilic M, Yoldas O, Koc M, Keskek M, Karakose N, Ertan T, et al. Can biliary-cyst communication be predicted before surgery for hepatic hydatid disease: does size matter? Am J Surg 2008;196:732-5.
Jafari F, Hamidian M, Rezadehbashi M, Doyle M, Salmanzadeh-Ahrabi S, Derakhshan F, et al. Prevalence and antimicrobial resistance of diarrheagenic Escherichia coli and Shigella species associated with acute diarrhea in Tehran, Iran. Can J Infect Dis Med Microbiol 2009;20:e56-62.
Konca C, Balci D. Biliary complications of hepatic hydatid cyst surgery and prevention methods. Intechopen 2017;69031.
Demircan O, Baymus M, Seydaoglu G, Akinoglu A, Sakman G. Occult cystobiliary communication presenting as postoperative biliary leakage after hydatid liver surgery: are there significant preoperative clinical predictors? Can J Surg 2006;49:177-84.
Taremi M, Khoshbaten M, Gachkar L, EhsaniArdakani M, Zali M. Hepatitis E virus infection in hemodialysis patients: a seroepidemiological survey in Iran. BMC Infect Dis 2005;5:36.
Atli M, Kama NA, Yuksek YN, Doganay M, Gozalan U, Kologlu M. Intrabiliary rupture of a hepatic hydatid cyst: associated clinical factors and proper management. Arch Surg 2001;136:1249-55.
Movchun AA, Koloss OE, Shatverian GA, Abdullaev AG, Alikhanov NKh. Errors and hazards in the surgical treatment of hepatic echinococcosis. Khirurgiia 1991;11:113-7.
Murtaza B, Malik IB, Mahmood A, Sharif MA, Saeed S, Satti AA. Cholecysto-hydatid cyst fistula. J Coll Physicians Surg Pak 2008;18:778-80.
Bayrak M, Altıntas Y. Current approaches in the surgical treatment of liver hydatid disease: singlecenter experience. BMC Surg 2019;19:95.
Papadimitriou J, Kannas D, Papadimitriou L. Portal hypertension due to hydatid disease of the liver. J Royal Soc Med 1990;83:120-1.
Emre A, Ariogul O, Alper A, Octen A, Uras A, Yalcin S. Hydatid cyst of liver and portal hypertension. HPB Surg 1990;2:129-33.
Masoodi M, Zali MR, Ehsani-Ardakani MJ, Mohammad-Alizadeh AH, Aiassofi K, Aghazadeh R, et al. Abdominal pain due to lead-contaminated opium: a new source of inorganic lead poisoning in Iran. Arch Iran Med 2006;9:72-5.
- Abstract Viewed: 0 times
- PDF Downloaded: 0 times