THE RUPTURE OF HEPATIC HYDATID-DISEASE INTO THE RIGHT HEPATIC VEIN AND BILE-DUCTS - A CASE-REPORT

Echinococcus granulosus and Echinococcus multilocularis cause liver hy datid disease. One of its most common complications is rupture into th e bile ducts; however, penetration of a cyst into a vessel is a very r are complication. We detected a defect (2x1 cm) on the wall of the rig ht hepatic vein, in addition to three distinctive ruptures into the bi le ducts, in our case. For systemic hypotension due to a bleeding duri ng operation and to repair the vessel wall defect, and urgent right th oracotomy followed by a radical phrenotomy was needed. We were able to reach the operation site easily and repaired the vessel wall with pol ypropylene suture. Because of the occurrence of these two complication s together and the difficulties of the operation, we decided to report this case.