Rare presentation of Liver hydatid cyst in the porta hepatics: Report five cases and review of literature

Echinococcosis remains a significant health hazard in endemic areas, including the Middle East, Mediterranean countries, and Central Asia. The liver is the most common organ involved in the Hydatid Cyst (75%). Theoretically, any lobe could be involved. However, the right lobe is more common. The involvement of the liver dome or posterior segment (7th and 8th segment), and potahepati has not been studied well. Humans are accidentally infected and do not have any role in the life cycle of hydatid cysts. The parasite may infest any body organ, with the liver and lungs being the most involved organs. portahepatis involvement by hydatid cyst is sporadic, with only seven cases published in the review of literature; we present two men, 56 and 62-year-old Persian males and two old females with RUQ pain and ultrasonography (US), computed tomography (CT) and magnetic resonance imaging (MRI) findings show hydatid disease of the liver with a compress of portal vein, hepatic artery, and CBD. Other organs were intact. Their laboratory tests show milled elevation of ALT, AST (98, 89 to 120 to 150 mg), bilirubin(2.5to3.5mg), and alkaline phosphatase (482 to 650mg). Other lab dates were in normal ranges. The patient underwent surgery with laparotomy. After calling the surgery site with the sponge and hypertonic saline, cysts were aspirated and evacuated, and the cavity was filled with omentum(mentoplasty). Hydatid disease is imposing a significant burden on healthcare systems, specifically in developing countries. Manifestations of the disease are often non-specific, while a subset of the infected population remains asymptomatic. Portohepatis obstruction and compressions are rare complications, and it is essential to distinguish other causes of obstruction. The management of these entities requires different approaches. Our approach was surgery with albendazole postoperative.