Copyright
©The Author(s) 2017.
World J Hepatol. Jan 18, 2017; 9(2): 114-118
Published online Jan 18, 2017. doi: 10.4254/wjh.v9.i2.114
Published online Jan 18, 2017. doi: 10.4254/wjh.v9.i2.114
Case 1 | Case 2 | Case 3 | |
Sex | Male | Female | Female |
Age (yr) | 80 | 75 | 55 |
Age | 80 | 75 | 55 |
Clinic | Fever, dyspnoea and malaise last 15 d duration Poor general condition | Fever and malaise for several days Poor general condition | High fever (> 39 °C) accompanied by discomfort in right hypochondrium Poor general condition |
Analytics | 18610 leukocytes, 90.8% neutrophils, Hgb 8.4 g/dL INR 1.13, Cr 0.75 mg/dL, GGT 433 U/L, AST 35 U/L | 24610 leukocytes (95% neutrophils), Hgb 10.9 g/dL, INR 1.24, Cr 1.56 mg/dL, PCR 315 mg/L, GGT 70 U/L and AST 47 U/L | 18666 leukocytes, 84.8% neutrophils, Hgb 10.6 g/dL, INR 1.14, PCR 19.4 mg/dL, GGT 270 U/L, AST 379 U/L |
Radiography/ultrasound | A right liver lesion with calcified wall and echoes inside, probably detritus, compatible with LHA | - | An abdominal mass with fluid level in right hypocondrium was seen |
Abdominal CT | An abdominal mass with fluid level in right hypochondrium | A 12 cm abscess in the liver compatible with LHA | An 11.5 cm liver mass located in segments VI and VII with fluid level, communicating with bile duct and causing inferior vena cava compression |
Size | 13 cm | 12 cm | 11.5 cm |
Culture | Klebsiella pneumoniae | Streptococcus viridans | Streptococcus salivarius |
Time from pair to surgery | 16 d | 12 d | 15 d |
Surgery | Subtotal cystectomy cholecystectomy, bile duct exploration, closure of small cystobiliary communications and omentoplasty | Subtotal cystectomy, cholecystectomy and bile duct clearance | Subtotal cystectomy and bile duct clearance |
Morbidity | Atelectasis and pleural effusion, fungaemia (Candida Albicans) and transfusion | No | Red blood cell transfusion |
Postsurgical stay | 34 d | 5 d | 4 d |
Total stay | 50 d | 17 d | 19 d |
Follow-up | No recurrence | No recurrence | No recurrence |
14 mo | 6 yr | 2.5 yr |
- Citation: Lopez-Marcano AJ, Ramia JM, Arteaga V, De la Plaza R, Gonzales JD, Medina A. Percutaneous drainage as a first therapeutic step prior to surgery in liver hydatid cyst abscess: Is it worth it? World J Hepatol 2017; 9(2): 114-118
- URL: https://www.wjgnet.com/1948-5182/full/v9/i2/114.htm
- DOI: https://dx.doi.org/10.4254/wjh.v9.i2.114