Diagnosis and surgical treatment of cysto-gastric fistula out of an hepatic hydatid cyst.

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Dogukan Dogu
Hilmi Anıl Dincer
Turkmen Turan Ciftci
Devrim Akinci
Erkan Parlak
Ahmet Bulent Dogrul

Abstract

BACKGROUND: Hydatid cyst is an endemic zoonotic infection that annual incidence ranges from <1 to 200 per 100,000
individuals. The most common complication of hepatic hydatid cyst reported is rupture of the cysts, most commonly intrabiliary
rupture. Direct rupture to hollow visceral organs is rarely seen. We describe here an unusual cystogastric fistula
in a patient with liver hydatid cyst.


CASE PRESENTATION: The 55-year-old male patient presented with right upper quadrant abdominal pain. After radiological
imaging studies, the diagnose was of hydatid cyst involving the left lateral segment of the liver ruptured into the
gastric lumen and resulted in a cystogastric fistula. Gastroscopy revealed that the cyst and its contents protruding from
anterior wall to the gastric lumen. Partial pericystectomy and omentopexy were performed and the gastric wall was primarily
repaired. There were no complications in the postoperative period and 3-month follow up.


CONCLUSION: This case, to our knowledge, is the first reported case of cystogastric fistula surgically treated in a patient
with liver hydatid cyst in the literature. Our clinical experience shows that, although it is a benign disease, complicated
hydatid cysts should be evaluated in detail preoperatively, and after the detailed diagnostic work-up, surgical therapy
might be planned individually for each case.

Article Details

How to Cite
Dogu, Dogukan, et al. “Diagnosis and Surgical Treatment of Cysto-Gastric Fistula Out of an Hepatic Hydatid Cyst”. Annali Italiani Di Chirurgia, vol. 12, no. May, May 2023, pp. 1-3, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1672.
Section
Case Report