Hydatid Disease Cured
by Minimally Invasive Therapy
Liviu Dubei, Daniel Lazescu, Felicia Crumpei, Raluca Anton
1st Surgical Clinic, „St.
Spiridon” Hospital, University of Medicine and Pharmacy
„Gr. T. Popa” Iasit
Hydatid disease is relatively
frequently encountered in general surgery services (4-5% of
the total operated cases). The association of the hepatic and
pulmonary localizations is quite common, but the involvement
of more organs is rare. The asymptomatic rupture of the hydatid
cyst in the peritoneal cavity is exceptional.
We present the case of a
69-year old female patient who was hospitalized in the 1st Surgical
Clinic for irritative dry cough, loss of weight (4 kg in the
last 3 months), fatigue, itching and dyspnea. She had been hospitalized
in a department of internal medicine for respiratory symptoms
when, during X-ray investigation, an opacity was observed, which
was suggestive for a pulmonary hydatid cyst. The abdominal ultrasound
revealed a multiple hydatid localization (liver, spleen, lower
right abdominal quadrant and hypogastrium) and the patient was
sent to our clinic. The patient was treated with albendazole
10 mg/kg/day for 10 days before surgery. Surgery was performed
by a minimally invasive approach, first by thoracoscopy and,
in the same operative session, the other hydatid localizations
were approached by laparoscopy. The parasiticide treatment was
continued about 3 months after surgery, when the patient was
hospitalized again in order to cure the splenic hydatid cyst.
Postoperative evolution was complicated by a biliary fistula
which resolved spontaneously in 10 days after the intervention.
The postoperative hospital stay was 14 days.
This case was unusual because
of the paucity of symptoms in spite of the multiple abdominal
cysts and because it was cured by a modern, minimally invasive
Hydatid disease - hepatic
hydatid cyst - pulmonary hydatid cyst - minimally invasive therapy
- thoracoscopy - laparoscopy - albendazole - percutaneous technique