TRATAMIENTO LAPAROSCÓPICO DE UN QUISTE HIDATÍDICO HEPÁTICO POLIQUÍSTICO PORECHINOCOCCUS VOGELI. REPORTE DE UN CASO EN VENEZUELA

Abstract

Hydatidosis is a hypoendemic disease in Venezuela. The unique autochthonous indigenous case was reported in a person from Yekuana ethnia in Amazonas State. We report in this study a hepatic hydatid case in an indigenous from Yekuana ethnia (Amazonas) caused by Echinococcus vogeli. The presumptive diagnosis was based on abdominal ecosonography, tomography, pronounced eosinophilia and positive ELISA and Western Blot. Laparoscopic surgery was performed to puncture-aspiration, partial cystectomy and omentoplasty of a cyst in 5th and 6th hepatic zone of 15cm diameter. It was obtained 250cc from cystic cavity, evaluated by light microscopy and confirmed the presence of rostellar hooks of Echinococcus sp. Later was made a total cystectomy of a 3cm diameter extra hepatic cyst located in large omentum. Patient went out at the hospital 48 hours after without complications. This work is the first report of a type III hydatid cyst by E. vogeli treated by laparascopy in Latin American.