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Background <p>Hydatid disease (HD) is a parasitic infection caused by the larval stage of the tapeworm Echinococcus granulosus. The liver is primary affected, accounting for up to 70% of cases, but it can also affect other organs such as the spleen, pelvic cavity, and bones. Patients can remain asymptomatic for 10 to 15 years. This report, accompanied by an extensive literature review, aims to contribute to the understanding of the diagnostic and surgical management of giant hepatic hydatid cysts, given their rarity and the variety of locations in the body where they occur.</p> Case presentation <p>A 32-year-old male presented with a 3-day history of diffuse abdominal pain. Examination revealed a tense abdomen, and laboratory tests showed mild leukocytosis. Ultrasound and CT scan demonstrated two giant hepatic hydatid cysts. The patient underwent elective open surgery with aspiration of both cysts, instillation of a scolicidal solution, removal of the germinative membranes, and partial pericystectomy with preservation of hepatic tissue. A drain was placed, and the postoperative course was uneventful. He was discharged after 3 days of hospitalization. Albendazole therapy was initiated 2 weeks postoperatively and continued for 6 months. At 6-month follow-up, the patient was asymptomatic with normal liver function tests and no evidence of recurrence on imaging.</p> Conclusion <p>Our case highlights that despite the limited medical resources in conflict-affected Syria, hepatic hydatid cysts can be successfully managed effectively through a combination of radiological evaluation, open surgical intervention, and antiparasitic drug therapy, resulting in a significant improvement in patient outcomes.</p> Clinical trial number <p>Not applicable.</p>

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Safe surgical management of two concomitant giant hepatic hydatid cysts: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月28日

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  • Hamdah Hanifa,
  • Wiaam Al-Refaai,
  • Raghad Maksoud,
  • Lana Bakir,
  • Malak Al-Refaai,
  • Myral Talab Agha,
  • Malak Alenawi,
  • Bessan Al-Refaai,
  • Rasha Al-Halbouni,
  • Nirmin Bachlah,
  • Fadiah Albaroudi,
  • Samya Zino,
  • Mohi Alddin Mahouk,
  • Kawther Kalaa,
  • Mohammad Shafa’a,
  • Samer Sara

摘要

Background

Hydatid disease (HD) is a parasitic infection caused by the larval stage of the tapeworm Echinococcus granulosus. The liver is primary affected, accounting for up to 70% of cases, but it can also affect other organs such as the spleen, pelvic cavity, and bones. Patients can remain asymptomatic for 10 to 15 years. This report, accompanied by an extensive literature review, aims to contribute to the understanding of the diagnostic and surgical management of giant hepatic hydatid cysts, given their rarity and the variety of locations in the body where they occur.

Case presentation

A 32-year-old male presented with a 3-day history of diffuse abdominal pain. Examination revealed a tense abdomen, and laboratory tests showed mild leukocytosis. Ultrasound and CT scan demonstrated two giant hepatic hydatid cysts. The patient underwent elective open surgery with aspiration of both cysts, instillation of a scolicidal solution, removal of the germinative membranes, and partial pericystectomy with preservation of hepatic tissue. A drain was placed, and the postoperative course was uneventful. He was discharged after 3 days of hospitalization. Albendazole therapy was initiated 2 weeks postoperatively and continued for 6 months. At 6-month follow-up, the patient was asymptomatic with normal liver function tests and no evidence of recurrence on imaging.

Conclusion

Our case highlights that despite the limited medical resources in conflict-affected Syria, hepatic hydatid cysts can be successfully managed effectively through a combination of radiological evaluation, open surgical intervention, and antiparasitic drug therapy, resulting in a significant improvement in patient outcomes.

Clinical trial number

Not applicable.