Cystic hepatic echinococcosis with intrabiliary rupture  

作　　者：Jianming Ma Qifu Yan Zha Xi Yun Dan Yucheng Hou Rui Tang 

机构地区：[1]General Surgery Department,Lhasa People’s Hospital,Lhasa,China [2]Hepatopancreatobiliary Center,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing,China

出　　处：《Hepatobiliary Surgery and Nutrition》2024年第3期573-574,共2页肝胆外科与营养（英文）

摘　　要：A 43-year-old Tibetan female was brought to the department of general surgery with abdominal discomfort.Computed tomography(CT)scan revealed cystic hepatic echinococcosis in the right liver(Figure 1A).Further magnetic resonance cholangiopancreatography showed that there were cyst-biliary communications at right posterior bile duct,and several hydatid cysts inside common bile duct(Figure 1B,yellow arrow head showed rupture,white arrow heads showed bile duct hydatid cysts).Low confluence of right posterior bile duct to the common hepatic duct suggests biliary variation.Although serum total bilirubin was normal,serum alkaline phosphatase and gamma-glutamyl transpeptidase were elevated mildly with the value of 278 and 107 U/L respectively.She underwent right hemihepatectomy plus choledochoscopic hydatid cysts extraction through right posterior hepatic duct stump(Figure 1C,yellow arrow head showed right posterior bile duct stump,white arrow heads showed bile duct hydatid cysts).To prevent the spread of echinococcosis,we covered the surgical area with hypertonic saline gauze.A large number of hydatid cysts presented inside hepatectomy specimen that mixed with a lot of bile(Figure 1D).Hydatid cyst inside bile duct was removed completely,and postoperative recovery was smooth.We removed all the liver cysts,and no signs of any lesion residue in post-operative image.

关 键 词：RUPTURE HEPATIC BILIARY 

分 类 号：R657.4[医药卫生—外科学]