Combined Hepatic and Gastric Hydatid Cyst in a 35 Year Old Male- A Rare Case Report

Authors

  • Shaon Shahriar Assistant Professor, Department of Hepatobiliary and Pancreatic Surgery, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.
  • Sadia Bente Kabir Trainee, Department of Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh.
  • Amit Sen Gupta Assistant Registrar, Department of Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh.
  • Safiqul Islam Resident, Department of Surgical Oncology, National Institute of Cancer Research and Hospital, Dhaka, Bangladesh.
  • Shoaeb Imtiaz Alam Registrar, Vascular Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh.
  • Mohammad Jayedul Islam Junior Consultant (Surgery), Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh.
  • A S M Farhad Ul Hassan Junior Consultant (Surgery), Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh.
  • Akhter Ahmed Associate Professor, Department of Hepatobiliary and Pancreatic Surgery, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.

DOI:

https://doi.org/10.3329/jss.v26i1.86095

Keywords:

Hydatid cyst, gastrointestinal echinococcosis, liver, stomach

Abstract

Hydatid disease (cystic echinococcosis) is a helminthic infection caused by the larval stages of Echinococcus granulosus. This disease mainly affects the liver followed by lungs, kidney, bones, and brain. Simultaneous involvement of two organs occurs in about 5–13% of the cases. Gastrointestinal echinococcosis may result from a direct digestive localization of hydatid cyst but most often results from the rupture or fistulization in the digestive tract from other sites like liver. Involvement of the stomach remains an exceptional entity. A 35 year old male presented to the Surgery Department of Shaheed Suhrawardy Medical College and Hospital with the complaints of mild epigastric pain and occasional vomiting for one year. Per abdominal examination showed a non tender epigastric lump. CT scan of abdomen demonstrated a multiloculated cystic lesion in the right lobe of liver and another in the lesser sac in front of pancreas. Exploratory laparotomy was done which revealed a multiloculated cystic lesion in the right lobe of liver and another cyst attached to the posterior wall of stomach. Deroofing followed by irrigation with scolicidal agent and omentoplasty was done for both the cysts. His postoperative recovery was uneventful.   

Journal of Surgical Sciences (2022) Vol. 26(1) : 53-57

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Published

2022-02-20

How to Cite

Shahriar, S., Kabir, S. B., Gupta, A. S., Islam, S., Alam, S. I., Islam, M. J., … Ahmed, A. (2022). Combined Hepatic and Gastric Hydatid Cyst in a 35 Year Old Male- A Rare Case Report. Journal of Surgical Sciences, 26(1), 53–57. https://doi.org/10.3329/jss.v26i1.86095

Issue

Section

Case Reports