Anaesthetic Considerations in Simultaneous Management of Pulmonary and Hepatic Ruptured Hydatid Cyst: A Case Report

Pooja Chandran; Ankit Agarwal; Debendra K Tripathy; Nitish Thakur; Vikram Chandra

doi:10.18502/aacc.v9i3.13124

Pooja Chandran Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India.
Ankit Agarwal Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India.
Debendra K Tripathy Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India.
Nitish Thakur Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India.
Vikram Chandra Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, India.

DOI: https://doi.org/10.18502/aacc.v9i3.13124

Keywords: Ruptured hydatid cyst; Bronchopleural fistula; Anaesthesia for thoracotomy; Lung protective ventilation

Abstract

Administering anaesthesia in ruptured hydatid cyst of lung/liver has always been challenging. The major perioperative goal of management in such patients include protection of healthy lung, chance of anaphylaxis, deranged liver enzymes and coagulation profile, hepatic resection, postoperative management of bronchopleural fistula, blood loss and analgesic management of large incision. We report a case of successful management of a 40-year-old male with hepatic and pulmonary ruptured hydatid cyst with bronchopleural fistula under general anaesthesia (using double lumen tube) and thoracic epidural.