Case Report
 
Obstructive jaundice secondary to postsurgical persistent residual hydatid ectocyst of left lobe of liver
Maulana M. Ansari1, Shahla Haleem2, Wasif M. Ali3, Leonard Enzeung4, Sheikh Sarfraz Ali4, Sunder K. Meet5
1MBBS, MS, Professor, Department of Surgery, JN Medical College and Hospital, AMU, Aligarh UP, India.
2MBBS, DA, MD, PhD, Professor, Department of Anaesthesiology, JN Medical College and Hospital, AMU, Aligarh UP, India.
3MBBS, MS, Assistant Professor, Department of Surgery, JN Medical College and Hospital, AMU, Aligarh UP, India.
4MBBS, Postgraduate Student, Department of Surgery, JN Medical College and Hospital, AMU, Aligarh UP, India.
5MBBS (Student), Intern, Department of Surgery, JN Medical College and Hospital, AMU, Aligarh UP, India.

doi:10.5348/ijcri-2014146-CR-10457

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How to cite this article
Ansari MM, Haleem S, Ali WM, Enzeung L, Ali SS, Meet SK. Obstructive jaundice secondary to postsurgical persistent residual hydatid ectocyst of left lobe of liver. Int J Case Rep Images 2014;5(12):844–848.


Abstract
Introduction: Liver is the most commonly affected by cystic echinococcosis and surgical treatment is usually curative. Although recurrence is not uncommon but obstructive jaundice secondary to persistent large residual ectocyst with compression at porta hepatis is an unusual complication not yet reported in literature.
Case Report: A 30-year-old female complained of persistent abdominal pain for eight months following surgical treatment of the liver hydatid cyst and increasing jaundice for one month. Imaging revealed a cyst in the same area adjacent to left lobe of liver. Abdominal exploration revealed hydatid ectocyst under tension, compressing the porta hepatis, common bile duct and neck of the gallbladder. Subtotal excision was performed. Postoperative period was uneventful and jaundice resolved in two weeks' time.
Conclusion: Follow-up longer than six months is advisable after surgical treatment of liver hydatid cyst for early detection of complications in the residual ectocyst. Fine-needle aspiration under image guidance appears as a reasonable option in the recurrent liver cyst following primary surgical treatment before embarking on re-laparotomy.

Keywords: Hydatid, Liver hydatid, Obstructive jaundice, Postsurgical ectocyst, Residual ectocyst


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Author Contributions
Maulana M. Ansari – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Shahla Haleem – Conception and design, Critical revision of the article, Final approval of the version to be published
Wasif M. Ali – Acquisition of data, Drafting the article, Final approval of the version to be published
Leonard J. Enzung – Acquisition of data, Drafting the article, Final approval of the version to be published
Sheikh Sarfraz Ali – Acquisition of data, Drafting the article, Final approval of the version to be published
Sunder K. Meet – Acquisition of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Maulana M. Ansari et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Maulana Mohammed Ansari is Senior Faculty member with thrust areas in advanced laparoscopy and laparoscopic anatomy especially during TEP hernioplasty. He is credited with 112 published papers, 67 working papers, and 51 conferences/workshop. He coined nine new medical terms, described 31 rare lesions/conditions, successfully used 10 atypical treatments, designed two new surgical treatments and elucidated one surgical anatomy. Email: mma_amu@gmail.com; mmansari.amu@gmail.com



Shahla Haleem is Professor, Department of Anaesthesiology, JN Medical College and Hospital, AMU, Aligarh UP, India



Wasif M. Ali is Assistant Professor, Department of Surgery, JN Medical College and Hospital, AMU, Aligarh UP, India



Leonard Enzeung is Postgraduate Student, Department of Surgery, JN Medical College and Hospital, AMU, Aligarh UP, India



Sheikh Sarfraz Ali is Postgraduate Student, Department of Surgery, JN Medical College and Hospital, AMU, Aligarh UP, India



Sunder K. Meet is MBBS Student, Department of Surgery, JN Medical College and Hospital, AMU, Aligarh UP, India