THORACIC PROBLEMS ASSOCIATED WITH HYDATID CYST OF DOME OF LIVER

  • 1 January 1976
    • journal article
    • research article
    • Vol. 79  (5) , 544-548
Abstract
Patients (20) with hydatid cyst of the dome of the liver are presented. In 10 there were significant associated intrathoracic complications including pleural effusion, pleural empyema, erosion through the diaphragm into lung, various degrees of pneumonitis or pulmonary abscess, or severe destruction diaphraghm and right lower pulmonary lobe. Bronchobiliary fistula was demonstrated at operation in 5 patients. Four patients had obstructive jaundice due to intrabiliary rupture of a liver hydatid. In 19 patients the cysts in the right lobe of the liver were evacuated through a right thoracotomy and incision of the diaphragm. In 4 of these, additional pulmonary resection was carried out. In 1 patient with left pleural empyema, tube drainage followed by rib resection was instituted. Two patients had common duct drainage for relief of obstructive jaundice. In 13 patients the ectocyst cavity was drained; in 7 it was filled with saline and closed. One patient required evacuation and open packing of the right upper quadrant and lower right hemithorax. Thoracotomy is mandatory in patients with hydatid cyst of the dome of the liver for easier approach to the cyst and for management of coexisting intrathoracic complications.

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