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Case Report
Hydatid cyst: Introducing a new surgical approach toward hepato-pulmonary fistula
1 Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
2 Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
3 Registered Medical and Surgical Nurse, Liver Transplantation and Hepatopancreaticobiliary Surgery, Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
4 Principal Investigator, Professor of Clinical Surgery, Liver Transplantation and Hepatopancreaticobiliary Surgery, Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
Address correspondence to:
Dalia El Hadi
MD, Department of Internal Medicine, American University of Beirut Medical Center, Beirut,
Lebanon
Message to Corresponding Author
Article ID: 100094Z04YK2021
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How to cite this article
Khalifeh Y, El Hadi D, Nassar H, El Hout W, Faraj W, Eid RA, Khalife M. Hydatid cyst: Introducing a new surgical approach toward hepato-pulmonary fistula. Int J Hepatobiliary Pancreat Dis 2021;11:100094Z04YK2021.ABSTRACT
Introduction: Hydatid disease, caused by the zoonotic parasite Echinococcus granulosus, presents as cysts most commonly in the liver and the lungs. A hepato-pleural fistula is considered one of its complications and surgery remains the mainstay of treatment. A simultaneous invasive thoracic and abdominal access is routinely needed which is accompanied by increased morbidity and mortality.
Case Report: In this case report, we present an innovative, less invasive, non-classical approach. We introduce a successful transabdominal transdiaphragmatic laparoscopic technique for the management of a hepato-pulmonary fistula secondary to hydatid disease of the liver.
Conclusion: Compared to the classical method, this new surgical approach toward hepato-pulmonary fistula paves the way for minimally invasive surgeries to manage complicated hydatid disease with a lower mortality and morbidity, faster recovery, and shorter hospital stay.
Keywords: Echinococcus granulosus, Hepato-pleural fistula, Hydatid disease, Laparoscopy, Surgical treatment, Transdiaphragmatic
SUPPORTING INFORMATION
Author Contributions
Yara Khalifeh - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Dalia El Hadi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hussein Nassar - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Walid El Hout - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rania Abou Eid - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mohammad Khalife - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Yara Khalifeh 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.
