Anaesthetic Considerations in Simultaneous Management of Pulmonary and Hepatic Ruptured Hydatid Cyst: A Case Report
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Abstract
Administering anaesthesia in ruptured hydatid cyst of lung/liver has always been challenging. The major perioperative goal of management in such patients include protection of healthy lung, chance of anaphylaxis, deranged liver enzymes and coagulation profile, hepatic resection, postoperative management of bronchopleural fistula, blood loss and analgesic management of large incision. We report a case of successful management of a 40-year-old male with hepatic and pulmonary ruptured hydatid cyst with bronchopleural fistula under general anaesthesia (using double lumen tube) and thoracic epidural.
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[2] Kilani T, El Hammami S, Horchani H, Ben Miled-Mrad K, Hantous S, Mestiri I, et al. Hydatid Disease of the Liver with Thoracic Involvement. World J Surg. 2001; 25(1):40–5.
[3] Bickel A, Loberant N, Singer-Jordan J, Goldfeld M, Daud G, Eitan A. The Laparoscopic Approach to Abdominal Hydatid Cysts. Arch Surg. 2001; 136(7):789-95.
[4] Smego RA Jr, Sebanego P. Treatment options for hepatic cystic echinococcosis. Int J Infect Dis. 2005; 9(2):69-76.
[5] Menezes da Silva A. Hydatid cyst of the liver-criteria for the selection of appropriate treatment. Acta Trop. 2003; 85(2):237-42.
[6] Anthi A, Katsenos C, Georgopoulou S, Mandragos K. Massive Rupture of a Hepatic Hydatid Cyst Associated with Mechanical Ventilation. Anesthesia & Analgesia. 2004; 796–7.
[7] Wellhoener P, Weitz G, Bechstein W, Djonlagic H, Dodt C. Severe anaphylactic shock in a patient with a cystic liver lesion. Intensive Care Med. 2000; 26(10):1578–8.
[8] Gouel-Chéron A, Harpan A, Mertes P-M, Longrois D. Management of anaphylactic shock in the operating room. Presse Med. 2016 Sep;45(9):774-83.
[2] Kilani T, El Hammami S, Horchani H, Ben Miled-Mrad K, Hantous S, Mestiri I, et al. Hydatid Disease of the Liver with Thoracic Involvement. World J Surg. 2001; 25(1):40–5.
[3] Bickel A, Loberant N, Singer-Jordan J, Goldfeld M, Daud G, Eitan A. The Laparoscopic Approach to Abdominal Hydatid Cysts. Arch Surg. 2001; 136(7):789-95.
[4] Smego RA Jr, Sebanego P. Treatment options for hepatic cystic echinococcosis. Int J Infect Dis. 2005; 9(2):69-76.
[5] Menezes da Silva A. Hydatid cyst of the liver-criteria for the selection of appropriate treatment. Acta Trop. 2003; 85(2):237-42.
[6] Anthi A, Katsenos C, Georgopoulou S, Mandragos K. Massive Rupture of a Hepatic Hydatid Cyst Associated with Mechanical Ventilation. Anesthesia & Analgesia. 2004; 796–7.
[7] Wellhoener P, Weitz G, Bechstein W, Djonlagic H, Dodt C. Severe anaphylactic shock in a patient with a cystic liver lesion. Intensive Care Med. 2000; 26(10):1578–8.
[8] Gouel-Chéron A, Harpan A, Mertes P-M, Longrois D. Management of anaphylactic shock in the operating room. Presse Med. 2016 Sep;45(9):774-83.
| Files | ||
| Issue | Vol 9 No 3 (2023): Summer |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v9i3.13124 | |
| Keywords | ||
| Ruptured hydatid cyst bronchopleural fistula anaesthesia for thoracotomy lung protective ventilation | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Chandran P, Agarwal A, Tripathy D, Thakur N, Chandra V. Anaesthetic Considerations in Simultaneous Management of Pulmonary and Hepatic Ruptured Hydatid Cyst: A Case Report. Arch Anesth & Crit Care. 2023;9(3):265-267.
