Hydatid cyst of liver is a fairly common disease in Indian population caused by ingestion of parasitic larvae, called Echinococcus granulosus. If big in size they can cause heaviness and pain in abdomen. Sometimes they can rupture into biliary tree causing cholangitis and sepsis. They can even rupture into peritoneal cavity causing peritonitis or hydatidosis of abdomen. The ideal treatment is drainage of cyst or removal of the cyst along with the liver segment, combined with pre- and post-operative Albendazole therapy. Here is a patient, 52 years old hailing from Nepal, presented with pain abdomen since 6 months.
On evaluation, CECT Abdomen revealed a large hydatid cyst in segments 5,6, & 7 of liver. He was given 1 month of albendazole therapy and then underwent laprosocpic Deroofing and drainage of hydatid cyst along with instillation of scolicidal agents. Post-operative course was uneventful and he was discharged on 2nd post-operative day in sound health. Presently patient is doing fine and is on albendazole therapy. Complete laparoscopic treatment is possible and is an acceptable treatment option for these complex and highly infective cysts.
