Hepatic hydatid cyst, laparoscopic management. Case report

We report a case of male patient of 32 years old; with a history of thoracic surgery for hydatid cyst at 9 years of age; admission was at the general surgery Service of the Hospital II Lima Norte Callao Luis Negreiros Vega, with a history of illness of 1 year, referring abdominal pain oppressive pre...

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Detalles Bibliográficos
Autores: Campos-Guzmán, Robert William, Altamirano-Narrea, Oscar, Romero-Palomino, Julio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:Perú
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Idioma:español
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/344
Acceso en línea:https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/344
Access Level:acceso abierto
Palabra clave:Quiste hidatídico hepático
Cirugía laparoscópica
Hepatic hydatid cyst
Laparoscopic surgery
Descripción
Sumario:We report a case of male patient of 32 years old; with a history of thoracic surgery for hydatid cyst at 9 years of age; admission was at the general surgery Service of the Hospital II Lima Norte Callao Luis Negreiros Vega, with a history of illness of 1 year, referring abdominal pain oppressive predominance of the upper abdomen, especially on right upper quadrant. Refers concomitantly history of previous surgery in thoracic region and positive epidemiological history. After clinical evaluation by the staff of surgery, outpatient clinic and the observation and reporting of CT in which well-defined lesions in segment IV and V multicystic appearance and lesser sac showing peripheral enhancement it is observed after administration contrast; associated with positive Western Blot, surgical treatment is decided. Laparoscopic Surgery was performed consisting of cyst aspiration drainage and washing the interior with hipersodio (20% ClNa) and placement of laminar drain was done. Presented a postoperative biliary fistula that was resolved in five weeks, beginning of oral tolerance on the first postoperative day and liver function controls within normal ranges discharge was performed four days after surgery.