Case Report
Copyright ©The Author(s) 2019.
World J Hepatol. Mar 27, 2019; 11(3): 318-329
Published online Mar 27, 2019. doi: 10.4254/wjh.v11.i3.318
Table 1 Demographic and clinical characteristics of four patients with hydatid cyst perforation
ParametersCase 1Case 2Case 3Case 4
Age44372740
GenderMaleMaleFemaleFemale
Cause of perforationSpontaneousTraumaSpontaneousTrauma
Clinical presentationPain (sudden)Pain (sudden)Pain (sudden)Pain (sudden)
HypotensionHypotensionHypotensionAnaphylaxis
AnaphylaxisAnaphylaxisNot clear
SerologyELISA IgG (+)ELISA IgG (+)NegativeNegative
History of HDKnownUnknownUnknownKnown
Cyst locationLiver (Bilobar)SpleenLiver (Bilobar)Liver (Bilobar)
Retroperitoneum
Retrovesical
Perforated cyst locationLiver (VI)SpleenLiver (III)Liver (II-VI)
Cysts size (mm)165 × 100 × 8050 × 4580 × 75110 × 85
130 × 100 × 9550 × 4040 × 1030 × 25
85 × 70 × 6560 × 50
Preop antihelminticALBZ (1 mo)NoNoALBZ (? mo)
Postop antihelminticALBZ (6 mo)ALBZ (2 mo)ALBZ (2 mo)ALBZ (2 mo)
Diagnostic toolsUS + CTUSUS + CTCT
Surgical approachPartial Cystectomy+Splenectomy+Partial Cystectomy+Partial Cystectomy+
CBD exploration+Retroperitoneal+OmentopexyOmentopexy
T-tube insertion+Retrovesical
OmentopexyCystectomy
RecurrenceYesNoNoNo
Postop complicationLiver abscessBleedingNoLiver abscess
Follow up (mo)80342536