PubMed · 79669
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B I Al'perovich. 1978. [Disputable problems in liver resection].. https://pubmed.ncbi.nlm.nih.gov/79669/
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Hydatid disease affects sheep and cattle and is caused by the larval form of Echinococcus granulosus. Affected human beings are only chance intermediate hosts. We present a woman admitted in her 22nd week of pregnancy because of upper abdominal pain and persistent vomiting. The presumptive diagnosis of hydatid cyst of the liver was established by ultrasound, X-ray and CT examinations. At laparotomy a 10 x 7 cm hydatid cyst was removed from the liver. She recovered completely and delivered spontaneously at term. There was no evidence of hydatid disease in the newborn or in the placenta.
Hydatid disease is one of the most important global health problems. Areas of progress in its management, however, remain unclear due to the incomplete, confusing and conflicting terms which have been used to describe it. To avoid this confusion it is proposed that the management of hydatid disease of the liver should be classified as follows. The hydatid cyst may be described as univesicular, multivesicular or secondary abdominal implantation. The surgical treatment of the cyst may be adequately described as either evacuation, enucleation, pericystectomy or hepatectomy and the method of treating the residual cavity in the liver following surgery as leaving open, suture-closure, closed tube drainage or marsupialisation. This classification is felt to be comprehensive and its application may avoid the confusion which is currently present in the literature on hydatid disease of the liver.
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