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07:43
Laparoscopic S7 Hepatectomy with Positive Fluorescence Staining
Published on: May 9, 2025
[Intraperitoneal perforation of hepatic hydatid cyst]
Hadj Omar El Malki1, Yasser El Mejdoubi, Raouf Mohsine
1Clinique chirurgicale A de l'hôpital Ibn Sina, Rabat, Maroc. oelmalki@hotmail.com
Gastroenterologie Clinique Et Biologique
|November 1, 2006
Summary
Ruptured liver hydatid cysts can cause sclerosing peritonitis, a rare complication. Long-term albendazole treatment and careful surgery led to a satisfactory outcome in a patient with this condition.
Area of Science:
- Hepatobiliary Surgery
- Parasitic Diseases
- Gastroenterology
Background:
- Hydatid cyst rupture of the liver occurs in 15-40% of cases.
- Perforation into the peritoneum is seen in 2-7% of liver hydatid cyst cases.
- Sclerosing peritonitis secondary to liver hydatid cyst rupture is exceptionally rare.
Observation:
- A 43-year-old woman presented with peritoneal rupture of a liver hydatid cyst diagnosed after 3 months.
- Initial treatment involved albendazole (10 mg/kg/d).
- Surgery revealed sclerosing peritonitis; parasitologic studies were negative.
Findings:
- Surgical management included H2O2 washing of the fibrous hull and drainage without dissection.
- The patient received 14 months of continuous albendazole treatment.
- Parasitologic studies of specimens were negative.
Implications:
- Long-term, continuous albendazole therapy is crucial for effective hydatid disease management.
- Sclerosing peritonitis is an exceptional complication requiring delicate surgical handling.
- The reported case demonstrates a satisfactory outcome with combined medical and surgical treatment.
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