Hydatid Cyst of Liver Presented as Obstructive Jaundice in Pregnancy; Managed by PAIR

Jayant K Ghosh; Sundeep K Goyal; Manas K Behera; Vinod K Dixit; Ashok K Jain

doi:10.1016/j.jceh.2014.11.002

Hydatid Cyst of Liver Presented as Obstructive Jaundice in Pregnancy; Managed by PAIR

J Clin Exp Hepatol. 2014 Dec;4(4):366-9. doi: 10.1016/j.jceh.2014.11.002. Epub 2014 Nov 26.

Authors

Jayant K Ghosh¹, Sundeep K Goyal¹, Manas K Behera¹, Vinod K Dixit¹, Ashok K Jain¹

Affiliation

¹ Department of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India.

Abstract

Incidence of Hydatid disease in pregnancy ranges from 1in 20,000 to 1 in 30,000. The most common site of hydatid cysts is the liver. The diagnosis of liver hydatid cysts is not difficult but the management during pregnancy is problematic. Both medical and surgical treatments are available but there is no consensus and each case has to be individualized. We present a case of liver hydatid cyst presented with obstructive jaundice during pregnancy which was managed by Puncture of the cyst under USG guidance; Aspiration of the cystic fluid, Injection of hypertonic saline, and Re-aspiration of solution without drainage (PAIR) and albendazole therapy. Very few cases of liver hydatosis were reported previously which had been managed by PAIR.

Keywords: ALT, serum alanine aminotransferase; AST, serum aspartate aminotransferase; CT scan, computed tomography scan; ELISA, enzyme-linked immunosorbent assay; PAIR; PAIR, Puncture of the cyst under USG guidance, Aspiration of the cystic fluid, Injection of hypertonic saline, and Re-aspiration of solution without drainage; USG, ultrasonography; liver hydatosis; obstructive jaundice; pregnancy.