JOURNAL OF MEDICAL AND SURGICAL RESEARCH - Vol. VI, n 2, December 2019
Pages: 642-644
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Portal Cavernoma Complicating a Persistent Postoperative Bile Leak after Liver Hydatid Cyst Surgery: -a Report Case-
Author: Mohamed Bouzroud, Ait idir badr, Felicitas Strehlow, Amine Benkabbou
Category: JMSR Surgery
Abstract:
INTRODUCTION: Hydatid cyst is a parasitic infection caused by the larval form of Echinococcus granulosis. Portal hypertension is an unusual postoperative complication after a liver hydatid cyst surgery. CASE PRESENTATION: To illustrate this rare condition, we present the case of a 32-year-old patient operated for a liver hydatid cyst with late-onset postoperative complications. The patient suffered from secondary digestive bleeding because of portal hypertension and was therefore treated with a distal splenorenal shunt (Warren). CONCLUSION: Surgery of hydatid cyst may cause severe complications like portal hypertension and in certain cases, distal splenorenal anastomosis might represent an important treatment option that needs to be performed in specialised centres.
Keywords: Liver cyst, Portal hypertension, Splenorenal shunt
DOI: 10.46327/msrjg.1.000000000000145
DOI URL: https://doi.org/10.46327/msrjg.1.000000000000145
References:
Amado-Diago CA, Gutiérrez-Cuadra M, Armiñanzas C, Arnaíz de las Revillas F, Gómez-Fleitas M, Fariñas MC. Echinococcosis: A 15-year Epidemiologie, clinical and outcome overview. Revolution Clinton Esp. 2015; 215 (7):380-384.
Younes Cherradi, Rajaa Afifi, Wafaa Khannoussi, Mohammed Firwana and all; Long-Term Results of Percutaneous Management of Liver Hydatid Cysts: - Experience of a University Hospital in Endemic Region. Journal of Medical and Surgical Research –JMSR-. 2016; III (2): 275- 281.
El Malki HO, El Mejdoubi Y, Souadka A, Mohsine R, Ifrine L, Abouqal R, et al. Predictive Factors of Deep Abdominal Complications after Operation for Hydatid Cyst of the Liver: 15 Years of Experience with 672 Patients. J Am Coll Surg. 2008; 206 (4); 629-637.
El Malki HO, Souadka A, Serji B, Benkabbou A, Mohsine R, Ifrine L, et al. Radical surgery for liver hydatid cyst. Journal of Medical and Surgical Research. 2014; I (2);29-35
Thomas RM, Ahmad SA. Management of Acute Post-operative Portal Venous Thrombosis. J Gastrointest Surg. 2010; 14 (3); 570-577.
Kuboki S, Schimizu H, Masayuki O, Kato A, Yoshitomi H, Furukawa K et al. Incidence, risk factors, and management options for portal vein thrombosis after hepatectomy: a 14-year, single-center experience. Am J Surg. 2015; 210 (5); 878-885.
Kayaalp C, Bzeizi K, Demirbag AE, Akoglu M. Biliary complications after hydatid liver surgery: incidence and risk factors. J Gastrointest Surg. 2002; 6 (5); 706-712.
Balik AA, Ba?o?lu M, Celebi F, Oren D, Polat KY, Atamanalp SS et al. Surgical treatment of hydatid disease of the liver: review of 304 cases. Arch Surg. 1999; 134 (2); 166-169.
Benkabbou A, Souadka A, Serji B, Hachim H, Mohsine R, Ifrine L et al. Changing paradigms in the surgical management of cystic liver hydatidosis improve the postoperative outcomes. Surgery. 2016; 159 (4); 1170-1180.
Khanna R, Sarin SK. Non-cirrhotic portal hypertension – Diagnosis and management. J Hepatol. 2014; 60 (2); 421-441.
Lo GH. The use of transjugular intrahepatic portosystemic stent shunt (TIPS) in the management of portal hypertensive bleeding. J Chin Med Assoc. 2014; 77 (8); 395-402.
Llop E, Seijo S. Treatment of non-cirrhotic, non-tumoural portal vein thrombosis. Gastroenterol Hepatol. 2016; 39 (6); 403-10.
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