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Multiple Hepatic and Renal Hydatid Cysts Managed with Laparoscopic Surgery
Lamia Kouba1, Bayan Alsaid1,2, Taisser Almeree3
1Faculty of Medicine, Damascus University, Damascus, Syria.
Case Reports in Surgery
|January 15, 2020
Summary
This case study details the laparoscopic removal of eight hydatid cysts in the liver and kidney. It highlights the importance of recognizing cystic echinococcosis in non-endemic areas.
Area of Science:
- Parasitology
- Minimally Invasive Surgery
- Hepatobiliary Surgery
Background:
- Cystic echinococcosis, caused by *Echinococcus granulosus*, is a significant parasitic zoonosis.
- The liver and lungs are the most frequently affected organs, posing diagnostic and therapeutic challenges.
- Increasing global travel and migration necessitate awareness of this disease in non-endemic regions.
Observation:
- A 40-year-old patient presented with fatigue, fever, and abdominal pain suggestive of parasitic infection.
- Laparoscopic excision successfully removed seven hepatic and one renal hydatid cyst.
- A postoperative renal fistula required subsequent CT-guided percutaneous intervention for a central hepatic cyst.
Findings:
- This report documents the first laparoscopic excision of multiple hepatic and renal hydatid cysts.
- The case illustrates the successful management of complex cystic echinococcosis involving multiple organs.
- Multimodality treatment, including surgery and percutaneous intervention, may be required for complete eradication.
Implications:
- This case underscores the need for heightened clinical suspicion and diagnostic preparedness for cystic echinococcosis in diverse geographic settings.
- Minimally invasive surgical techniques can be effectively employed for hydatid cyst removal.
- Familiarity with diagnostic imaging and interventional radiology is crucial for managing complicated cases and ensuring optimal patient outcomes.

