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Case Report
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| 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 | ||||||
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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. | ||||||
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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. |
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Abstract
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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. | |
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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 |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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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. |
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About The Authors
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