RESUMO
Intrathoracic rupture of hydatid cyst of the liver is a rare but severe complication of echinococcal disease. It represent a serious condition responsible for lesions at 3 levels: hepatic, diaphragmatic, and pulmonary. Early diagnosis and management of septic associated complications are essential. We present the case of a 55 year old female patient with a giant hydatid cyst type CE 2 based on WHO Classification, communicating with the biliary tree and with a massive extension to the right hemithorax.
Assuntos
Fístula Biliar/diagnóstico por imagem , Fístula Biliar/cirurgia , Fístula Brônquica/diagnóstico por imagem , Fístula Brônquica/cirurgia , Albendazol/uso terapêutico , Animais , Procedimentos Cirúrgicos do Sistema Biliar , Colangiografia , Equinococose/diagnóstico por imagem , Equinococose/tratamento farmacológico , Echinococcus , Feminino , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Radiografia TorácicaRESUMO
The role of debulking resections in giant malignant insulinoma is still controversial. Here, we report the case of a 49-year-old patient woman with a giant malignant symptomatic insulinoma, who underwent debulking surgery, realizing a total pancreatectomy, splenectomy, partial gastrectomy and cholecystectomy.