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Hydatid cyst: Introducing a new surgical approach towards hepato-pulmonary fistula, a case report
Yara Khalifeh1, Dalia El Hadi1, Hussein Nassar2
1Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Introduction And Importance:
Hydatid disease, caused by the zoonotic parasite Echinococcus granulosus, presents as cysts most commonly in the liver and the lungs. A hepato-pleural fistula is considered one of its complications and surgery remains the mainstay of treatment. A simultaneous invasive thoracic and abdominal access is routinely needed which is accompanied by increased morbidity and mortality.
Case Presentation:
In this case report, we present an innovative, less invasive, non-classical approach.
Clinical Discussion:
We introduce a successful transabdominal transdiaphragmatic laparoscopic technique for the management of a hepato-pulmonary fistula secondary to hydatid disease of the liver.
Conclusion:
Compared to the classical method, this new surgical approach towards hepato-pulmonary fistula paves the way for minimally invasive surgeries to manage complicated hydatid disease with a lower mortality and morbidity, faster recovery and shorter hospital stay. The work has been reported in line with the SCARE 2020 criteria.
