upper digestive stenosis due to a hydatid cyst of the liver

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Published Jul 20, 2015
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Vol. 93 No. 3 (2015): Issue Mar 2015

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Jarrar Mohamed Salah
Ben Hadj Khalifa Mohamed Habib
Toumi Radhouane
Ghrissi Rafik
Elghali Mohamed Amine
Khenissi Abdelmajid
Hamila Fehmi
Letaief Rached

Abstract

The complications of the hydatid cyst of the liver are dominated by infection and rupture. The compression of adjacent organs (mainly the inferior vena cava, the portal vein and the bile ducts) can be seen, when the cyst is located in the dome, in the hilum or within the hepatic parenchyma. Upper digestive stenosis by compression of the duodenum by the hydatid cyst is an exceptional complication.
Case report: A 63 year-old patient had, for two months, upper digestive stenosis associated with a sensation of weight in the right hypochondrium. Digestive endoscopy showed an extrinsic compression of the second portion of the duodenum. Biopsies were negative. Abdominal CT showed up a hydatid cyst in the segment VI of the liver, adhering to the duodenum, with an exo-vesiculation compressing it. The patient was operated on: There was a hydatid cyst of the right lateral sector compressing the duodenum. A partial intralamellar pericystectomy was performed.
Conclusion: Hydatid cyst of the liver, a parasitic disease described as benign, may give mechanical complications related to compression of adjacent organs (especially the bile ducts and veins). Compression of the digestive tract is exceptional. This is due to the proximity of the cyst to the duodenum and the thickness of the cyst wall.

Keywords:

Hydatid cyst; Liver; Duodenum; Upper digestive stenosis; Surgery

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