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Updated: May 25, 2026

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
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Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

[Malignant hydatid disease--clinical case].

Simona Daniela Ionescu1, Anca Ouatu, Paloma Manea

  • 1Universitatea de Medicină şi Farmacie "Gr. T. Popa" Iaşi.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|January 27, 2012
PubMed
Summary
This summary is machine-generated.

A 79-year-old woman with disseminated hepatic hydatid cyst sepsis died despite treatment. Notably, she had no prior allergic reactions, complicating diagnosis and management of this rare parasitic infection.

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Last Updated: May 25, 2026

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma
05:22

Intraoperative Strategy under Complex Vascular Adhesion for Laparoscopic Radical Resection of Bismuth-Corlette Type IIIb Perihilar Cholangiocarcinoma

Published on: February 13, 2026

Area of Science:

  • Medicine
  • Parasitology
  • Infectious Diseases

Background:

  • Hydatid cysts, caused by Echinococcus granulosus, can disseminate and lead to severe sepsis.
  • Surgical intervention is the primary treatment for hydatid cysts.
  • Patient history and co-morbidities significantly impact disease management and prognosis.

Observation:

  • A 79-year-old woman presented with sepsis secondary to a disseminated hepatic hydatid cyst.
  • The patient had a history of chronic ischemic heart disease and anemia from a duodenal ulcer.
  • She had refused surgical treatment for the hydatid cyst diagnosed a month prior.

Findings:

  • The patient experienced acute hepatic and renal failure due to toxic and septic shock.
  • A second episode of upper gastrointestinal hemorrhage occurred, leading to death.
  • A key finding was the absence of anaphylactic/allergic reactions typically associated with hydatid cyst dissemination.

Implications:

  • This case highlights the diagnostic challenges in patients with hydatid disease who lack typical allergic presentations.
  • It underscores the critical importance of considering parasitic infections even in the absence of classic symptoms.
  • Effective management requires a multidisciplinary approach, addressing both the parasitic infection and critical care needs.