Hepatic Hydatid Cyst With Cystobiliary Communication and Cystoduodenal Fistula

Oseen Shaikh1, Naveen Kumar Gaur1, Chellappa Vijayakumar1

  • 1Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Cureus
|October 4, 2021
PubMed

Insights

This case study details a rare hepatic hydatid cyst complication involving a cystobiliary communication and duodenal fistula. Surgical intervention led to successful patient recovery without recurrence.

Area of Science:

  • Hepatology
  • Surgical Gastroenterology
  • Parasitology

Background:

  • Hepatic hydatid cyst (HHC) is a parasitic infection primarily affecting the liver.
  • Complications such as cystobiliary communication (CBC) and fistulas are infrequent but significant.
  • This report focuses on a rare instance of HHC with both CBC and a cystoduodenal fistula.

Observation:

  • A 48-year-old male presented with a diagnosed HHC.
  • The patient exhibited both a cystobiliary communication and a cystoduodenal fistula.
  • Diagnostic confirmation involved intraoperative visualization of the CBC.

Findings:

  • The patient underwent a partial cystectomy for the hepatic hydatid cyst.
  • Cystobiliary communication was confirmed intraoperatively and successfully closed.
  • The cystoduodenal fistula was surgically repaired using an omental patch (Graham patch).

Implications:

  • This case highlights successful surgical management of a rare HHC complication.
  • Effective treatment involved combined closure of CBC and duodenal fistula.
  • The patient experienced a favorable outcome with no recurrence during a five-month follow-up period.

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