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2016 ; 9
(4
): 331-335
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Hydatid liver cyst causing portal vein thrombosis and cavernous transformation: a
case report and literature review
#MMPMID27895860
Kirmizi S
; Kayaalp C
; Yilmaz S
Gastroenterol Hepatol Bed Bench
2016[Fal]; 9
(4
): 331-335
PMID27895860
show ga
A 33-year-old male with abdominal distention after meals was admitted to the
hospital. He had a history of surgery for hydatid liver cyst. The cyst was
located at the liver hilum and there were portal venous thrombosis and cavernous
transformation. It had been treated with partial cystectomy, omentoplasty and
albendazole. Two years later at the admission to our center, his laboratory tests
were in normal ranges. Abdominal imaging methods revealed splenomegaly, portal
vein thrombosis, cavernous transformation and the previously operated hydatid
liver cyst. Upper gastrointestinal endoscopy demonstrated esophageal and gastric
fundal varices. Due to his young age and low risk for surgery, the patient was
planned for surgical treatment of both pathologies at the same time. At
laparotomy, hydatid liver cyst was obliterated with omentum and there was no sign
of active viable hydatid disease. A meso-caval shunt with an 8 mm in-diameter
graft was created. In the postoperative period, his symptoms and endoscopic
varices were regressed. There were four similar cases reported in the literature.
This one was the youngest and the only one treated by a surgical shunt. Hydatid
liver cysts that located around the hilum can lead to portal vein thrombosis and
cavernous thrombosis. Treatment should consist of both hydatid liver cyst and
portal hypertension. To the best of our knowledge, this was the first case of
surgically treated portal vein thrombosis that was originated from a hydatid
liver cyst.