Year 2022 / Volume 114 / Number 1
Review
A review of the diagnosis and management of liver hydatid cyst

35-41

DOI: 10.17235/reed.2021.7896/2021

Ester Ferrer Inaebnit, Francesc Xavier Molina Romero, Juan José Segura Sampedro, Xavier González Argenté, José Miguel Morón Canis,

Abstract
Hydatidosis is a zoonosis caused by Echinococcus in the larval stage. Humans are accidental intermediary hosts where cystic lesions develop, primarily in the liver and the lungs. It is usually asymptomatic, hence it often represents an incidental finding. Symptoms result from cyst expansion and/or host inflammatory reaction. Hepatomegaly is the most common sign. Hydatidosis induces no specific changes in lab tests but immunodiagnostics are available that may complement its study, with antibody detection being the modality of choice. While ultrasound is the main diagnostic technique, tomography offers more accurate information regarding both characteristics and anatomical relations. A number of therapy options are presently available. Treatment with albendazole, whether combined or not with praziquantel, is useful for smaller, uncomplicated cysts (< 5 cm). Only 30 % of cysts disappear with medical treatment alone. Surgery is indicated for bigger liver cysts (> 10 cm), and cysts at risk of rupture and/or complicated cysts. The laparoscopic approach is scarcely widespread. The radical technique (total cystopericystectomy) is preferable because of its lower risk for postoperative abdominal infection, biliary fistula, and overall morbidity. Conservative techniques are appropriate in endemic areas where surgery is performed by nonspecialist surgeons. PAIR (puncture-aspiration-injection-reaspiration) is an innovative technique representing an alternative to surgery. It is indicated for inoperable cases and/or patients who reject surgery, for recurrence after surgery, and for lack of response to medical treatment. Active surveillance without treatment may be indicated for quiescent or inactive, uncomplicated liver cysts.
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References
1. Robles R, Parilla P. Guias Clinicas de la A.E.C. - Cirugía Hepática. 2018.
2. Touma D, Sersté T, Ntounda R, Mulkay J-P, Buset M, Van Laethem Y. The liver involvement of the hydatid disease: a systematic review designed for the hepato-gastroenterologist. Acta Gastroenterol Belg [Internet]. 2013 Jun;76(2):210–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23898558
3. BLUMGART ’ S Surgery of the Liver , Biliary Tract , and Pancreas.
4. Akin O, Isiklar I. Hepatic Alveolar Echinococcosis. Acta radiol [Internet]. 1999 May 30;40(3):326–8. Available from: http://journals.sagepub.com/doi/10.3109/02841859909175562
5. Shera TA, Choh NA, Gojwari TA, Shera FA, Shaheen FA, Wani GM, et al. A comparison of imaging guided double percutaneous aspiration injection and surgery in the treatment of cystic echinococcosis of liver. Br J Radiol. 2017;90(1072).
6. Panteleev V, Nartaylakov M, Mustafin A, Abdeyev R, Salimgareyev I, Samorodov A V., et al. Surgical treatment of liver echinococcosis and alveococcosis. Infez Med. 2019;27(4):422–8.
7. Ramia JM, Serrablo A, Serradilla M, Lopez-Marcano A, de la Plaza R, Palomares A. Major hepatectomies in liver cystic echinococcosis: A bi-centric experience. Retrospective cohort study. Int J Surg [Internet]. 2018;54(January):182–6. Available from: https://doi.org/10.1016/j.ijsu.2018.04.049
8. Ramia JM, Manuel-Vázquez A, Román CG, Latorre-Fragua R, de la Plaza-Llamas R. Radical surgery in hepatic hydatidosis: Analysis of results in an endemic area. Rev Esp Enfermedades Dig. 2020;112(9):708–11.
9. Pham H, Kupshik D, King C, Romano P. Cystic echinococcosis. Appl Radiol. 2019;48(5):42–3.
10. Carabin H, Nguyen H, Dickey M, Budke CM, Zeziulin O, Ndimubanzi PC, et al. A Systematic Review of the Literature on Cystic Echinococcosis Frequency Worldwide and Its Associated Clinical Manifestations. Am J Trop Med Hyg [Internet]. 2013 Jun 5;88(6):1011–27. Available from: https://ajtmh.org/doi/10.4269/ajtmh.12-0692
11. Khan A, Zahoor S, Ahmed H, Malik U, Butt RA, Muzam MS, et al. A Retrospective Analysis on the Cystic Echinococcosis Cases Occured in Northeastern Punjab Province, Pakistan. Korean J Parasitol [Internet]. 2018 Aug 31;56(4):385–90. Available from: http://parasitol.kr/journal/view.php?doi=10.3347/kjp.2018.56.4.385
12. Zhang H, Liu ZH, Zhu H, Han Y, Liu J, Deng LQ. Analysis of contrast-enhanced ultrasound (CEUS) and pathological images of hepatic alveolar echinococcosis (HAE) lesions. Eur Rev Med Pharmacol Sci. 2016;20(10):1954–60.
13. Keong B, Wilkie B, Sutherland T, Fox A. Hepatic cystic echinococcosis in Australia: an update on diagnosis and management. ANZ J Surg. 2018;88(1–2):26–31.
14. Pedro L Moro, MD M. Clinical manifestations and diagnosis of echinococcosis.
15. Mihmanli M, Idiz UO, Kaya C, Demir U, Bostanci O, Omeroglu S, et al. Current status of diagnosis and treatment of hepatic echinococcosis. World J Hepatol [Internet]. 2016;8(28):1169. Available from: http://www.wjgnet.com/1948-5182/full/v8/i28/1169.htm
16. Abbas R, Khalid R, Abdelouahed L, Bennasser F. Abdominal effusion revealing an exophytic hydatid cyst of the liver has developed under mesocolic. Pan Afr Med J [Internet]. 2019 Oct 18;34:1–7. Available from: http://www.panafrican-med-journal.com/content/article/34/101/full/
17. Molina Romero FX, Morón JM, De La Serna S, Martí-Corbella A, Soro JA. Colangiocarcinoma intrahepático sobre quiste hidatídico. Cir Esp. 2007;82(3):182–4.
18. Lissandrin R, Brunetti E, Tinelli C, Piccoli L, Tamarozzi F, Mariconti M, et al. Factors Influencing the Serological Response in Hepatic Echinococcus granulosus Infection. Am J Trop Med Hyg [Internet]. 2016 Jan 6;94(1):166–71. Available from: https://ajtmh.org/doi/10.4269/ajtmh.15-0219
19. Pérez-Arellano J, Carranza-Rodríguez C, Vicente-Santiago B, Muro A. Enfermedades Infecciosas : Parasitosis. Medicine (Baltimore). 2010;10(54):3609–20.
20. Pitchaimuthu M, Duxbury M. Cystic lesions of the liver—A review. Curr Probl Surg [Internet]. 2017 Oct;54(10):514–42. Available from: http://dx.doi.org/10.1067/j.cpsurg.2017.09.001
21. Engler A, Shi R, Beer M, Schmidberger J, Kratzer W, Barth TFE, et al. Simple liver cysts and cystoid lesions in hepatic alveolar echinococcosis: A retrospective cohort study with Hounsfield analysis. Parasite. 2019;26.
22. Bektasoglu HK, Hasbahceci M, Tasci Y, Aydogdu I, Malya FU, Kunduz E, et al. Comparison of Laparoscopic and Conventional Cystotomy/Partial Cystectomy in Treatment of Liver Hydatidosis. Biomed Res Int [Internet]. 2019 Feb 5;2019:1–5. Available from: https://www.hindawi.com/journals/bmri/2019/1212404/
23. Velasco-Tirado V, Alonso-Sardón M, Lopez-Bernus A, Romero-Alegría Á, Burguillo FJ, Muro A, et al. Medical treatment of cystic echinococcosis: Systematic review and meta-analysis. BMC Infect Dis. 2018;18(1).
24. Syllaios A, Schizas D, Koutras A, Zotos P-A, Davakis S, Vailas M, et al. Abdominal pain caused by a giant liver hydatid cyst and the management of the residual cavity in a tertiary public hospital in Greece. Pan Afr Med J [Internet]. 2019 Sep 4;34:2–5. Available from: http://www.panafrican-med-journal.com/content/article/34/11/full/
25. Bayrak M, Altıntas Y. Current approaches in the surgical treatment of liver hydatid disease: single center experience. BMC Surg [Internet]. 2019 Dec 17;19(1):95. Available from: https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-019-0553-1
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Ferrer Inaebnit E, Molina Romero F, Segura Sampedro J, González Argenté X, Morón Canis J. A review of the diagnosis and management of liver hydatid cyst. 7896/2021


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Publication history

Received: 15/02/2021

Accepted: 25/04/2021

Online First: 26/05/2021

Published: 10/01/2022

Article revision time: 61 days

Article Online First time: 100 days

Article editing time: 329 days


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