Pericystectomy for a Giant Recurrent Hepatic Hydatid Cyst

The management of the recurrent giant hepatic hydatid cyst is often a controversial matter. Herein, is described acase of 37-years-old female patient who was diagnosed with a giant hydatid cyst occupying almost the entire rightlobe of the liver. After identification and protecting the surrounding tissues, scolicidal injection (alcohol 97%) andevacuation of the total contents of the cyst is done, the cyst is totally excised. The large residual cavity was simplydrained. The patient had developed biliary collection which has been drained percutaneously under ultrasound guidance. She has been discharged 34 days after surgery in a good condition. The clinical presentation, diagnostic workup and surgical management of the patient are discussed, along with a review of the literature.