Case Report
Copyright ©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Apr 28, 2007; 13(16): 2388-2389
Published online Apr 28, 2007. doi: 10.3748/wjg.v13.i16.2388
Giant hepatic hydatid cyst: A case report
Ali Ezer, Tarık Zafer Nursal, Turgut Noyan, Gökhan Moray
Ali Ezer, Tarık Zafer Nursal, Turgut Noyan, Gökhan Moray, Department of General Surgery, Baskent University Faculty of Medicine, 06490-Ankara, Turkey
Author contributions: All authors contributed equally to the work.
Correspondence to: Ali Ezer, Baskent Üniversitesi Adana Hastanesi Dadaloglu Mah. 39. Sokak No: 6 Yüregir 01250 Adana, Turkey. ezerali@hotmail.com
Telephone: +90-322-3272727-1134 Fax: +90-322-3271273
Received: December 4, 2006
Revised: January 15, 2006
Accepted: January 31, 2007
Published online: April 28, 2007
Abstract

Large type 1 cysts are prone to perforation. Furthermore, insufficient drainage with subsequent abscess is a frequent problem of large cysts. We report here a case of a 19-year old man who was admitted to the hospital with pain in the right upper quadrant and epigastric region. An asymmetrical right upper quadrant enlargement was detected on physical examination. Ultrasonography and computerized tomography revealed a type 1 giant hydatid cyst in the right hepatic lobe, measuring 16 cm in diameter. During operation, partial cystectomy and drainage were done. The large dead space was obliterated by the ‘sandwich’ method. Omentum and gelatin sponges were used to fill the cavity. The postoperative period was uneventful and the patient was discharged on the 5th postoperative day.

Keywords: Echinococcosis; Surgery; Residual cavity