Case of hydatid cyst with localization in the liver gate and the development of acute acalculous cholecystitis


  • M.I. Pokydko
  • T.V. Formanchuk
  • O.V. Voznyuk
  • I.N. Vovchuk
  • A.M. Formanchuk
Keywords: echinococcosis, parasitic cyst of the liver, hydatid fluid, surgical treatment, echinococectomy.

Abstract

Annotation. Among all internal organs, the liver is the organ that is most commonly affected by echinococcosis, and in more than half of the cases its right lobe is affected. Active migration of the population caused the spread of pathology beyond the endemic regions. In particular, more than 100 cases of echinococcosis among people are registered in Ukraine every year. The purpose of this study is to analyze a clinical case that demonstrates an echinococcal impression of the liver with interesting localization of the cyst near the liver gate, with compression of the cystic duct and the development of acute acalculous cholecystitis. When the patient was hospitalized, there was no expected eosinophilia in the blood test, but it appeared on 14 day of albendazole chemotherapy. In serological testing of the blood by ELISA, the determination of IgG for Echinococcus granulosus was doubtful. However, radiological findings clearly indicated signs of parasitic cyst genesis. Following all the principles of aparasitism, the patient underwent closed echinococectomy, microscopy of the native material confirmed the presence of numerous scolexes in cystic fluid.

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Published
2020-05-18
How to Cite
Pokydko, M., Formanchuk, T., Voznyuk, O., Vovchuk, I., & Formanchuk, A. (2020). Case of hydatid cyst with localization in the liver gate and the development of acute acalculous cholecystitis. Reports of Vinnytsia National Medical University, 24(1), 92-97. https://doi.org/https://doi.org/10.31393/reports-vnmedical-2020-24(1)-17