DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20171121

Case report on hydatid cyst of the liver progressed to the lungs

Sree Keerthi Nethi, Vyshnavi Biradavolu, Durga Prasad T. S.

Abstract


Hydatid liver disease is commonly found in sheep farming areas. Hydatid cysts are confined to the liver and lungs in common. Many reports on hydatid cysts of liver and lungs were reported individually. Here, we report a case of hydatid cyst of the liver leading to the development of cysts in the lungs. The patient had previously underwent surgery for the removal of hydatid cysts in the liver but chemotherapy with albendazole was neither initiated immediately nor continued for 3 to 6 weeks after initiation. Later she presented with shortness of breath and cough along with fever and chills, for which she was diagnosed to have pleural effusion confirmed with pleural fluid analysis showing increase in ADA (Adenosine deaminase) and protein levels and USG (Ultrasonography) demonstrating loculations. Inspite of specific therapy, pleural effusion was not relieved and she was advised for CT chest which revealed multiple cysts in the lung. Suspecting for the liver cysts, USG abdomen was advised and it confirmed the presence of hydatid cysts in the liver. This helped to draw a conclusion that failure of earlier surgical intervention i.e excision of hydatid cyst of the liver lead to the development of cyst in the lungs that presented as pleural effusion. This case highlights the importance of chemotherapy along with surgical intervention before and after the surgery.


Keywords


Albendazole, Excision of cyst, Hydatid cyst, Liver, Lung

Full Text:

PDF

References


Derbel F, Ali AB, Nadia A, El Ouni C, Ibtissem H, Jemni H, et al. Hydatid cysts of the liver-diagnosis, complications and treatment. INTECH Open Access Publisher; 2012.

Attef M Elshazly, Manar S Azab, Samar N ElBeshbishi and Hany M Elsheikha. Hepatic hydatid disease - four case reports. Cases Journal. 2009;2(58);1-4.

Anand CL, Rajagopalan BS, Mohan SLR. Management of liver hydatid cysts e Current perspectives. Medical journal armed forces India. 2012;68:304-9.

Solaymani A, Jozani ZB, SeyedAlinaghi SA, Jamali SR. Multi-organ echinococcosis: a case report. Journal of International Medical Publisher. 2011;5(1):1-3.

Lee RC, Chou YH, Chiang JH, Chen YK and Hsu HC. Hydatid cyst of the liver: a case report and literature review. Kaohsiung Journal of Medical Sciences. 2005;21(9):418-23.

Faheem N, Nusrath N, Rao BSS, Ram GR, Sushma C, Subramanyam Y, et al. The scenario of Hydatid cyst disease in epidemic areas of Andhra Pradesh–evaluation and analysis. International Journal of Research and development off health. 2013;(3):120-8.

Dervenis C, Delis S, Avgerinos C, Madariaga J, Milicevic M. Changing Concepts in the Management of Liver Hydatid Disease. Joumal of Gastrointestinal Surgery. 2005;9(6):869-77.

Wen H, New RR, Craig PS. Diagnosis and treatment of human hydatidosis. British Journal of Clinical Pharmacology. 1993;35:565-74.

Biava MF, Dao A, Fortier B. Laboratory diagnosis of cystic hydatid disease. World Journal of Surgery. 2001;25:10-4.

Franchi C, Di Vico B, Teggi A. Long-term evaluation of patients with hydatidosis treated with benzimidazole carbamates. Journal of Clinical and Infectious Diseases. 1999;29:304-9.

Horton RJ. Albendazole in treatment of human cystic echinococcosis: 12 years of experience. International Journal of Infectious Diseases. Acta Trop. 1997;64:79-93.