Aims and objectives
• To describe the radiological patterns of centro hepatic hydatid cyst complications
• To emphasize the role of imaging in therapeutic management
Methods and materials
We conducted a cross sectional study in the radiology and surgery departments of EPS Sahloul Sousse throughout a 27 case retrospective review of complicated centro hepatic hydatid cysts.
For statistical analysis IBM SPSS Statistics 21 was used and only descriptive study was carried out.
All patients received at least one emergency imaging exam; ultrasound (7%),
both ultrasound and CT (81%).
Hepatic MRI was carried out in one case.
The Inclusion criterion is the centro hepatic localization.
This refers to cysts reaching the caudate...
There were 12 females and 15 males aged between 22 -87years.
The clinical presentation was -isolated fever (30%),
abdominal mass (6%),
peritonitis (7%).Fig. 1
Imaging revealed following complications: Cystobiliary communication (29.6%),
biliary compression (22%),
both cysto biliary and gastric communications (11%),
vascular compression (7.4%),
rupture in the peritoneal cavity (7.4%),
biliary and vascular compression (3.7%).
The intraoperative explorations showed 44% of cysto biliary communication which were treated with different options,
but the first-choice treatment was...
In endemic areas,
liver hydatidosis remains a serious health problem.
the centro hepatic location,
causes multiple complications because of its proximity to the vascular and biliary elements of the hepatic pedicle.
The therapeutic options are various and related to type of complication,
the location of the cyst,
and the experience of the hepatobiliary surgeon.
Imaging plays a crucial role in the preoperative diagnosis of this condition which facilitates its management.
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