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Removal and Transhepatic Ductal Drainage with Report of a Case

WALTMAN WALTERS, M.D.; JOHN A. RAMSDELL, M.D.; STEPHEN ENGEL, M.D.

AMA Arch Surg. 1960;81(5):768-770.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Echinococcal disease is not prevalent in the United States; it is seen only rarely in many of the largest hospitals. We believe the case reported here to be of special interest, not only because of the rarity of the disease, but also because the patient had recurrent episodes of biliary obstruction caused by hydatid cysts. In a previous study¹ of 40 proved cases of primary hydatid cysts of the liver, a third of the patients gave a history of biliary colic and jaundice. The subject of this report also gave such a history; his biliary symptoms resulted from obstruction of the common duct by echinococcal cysts originating from a mother cyst in the right lobe of the liver. The daughter cysts emptied into one of the intrahepatic ducts, whence they entered the common duct.

Report of Case

The patient was a 42-year-old white man born and raised in Poland. . . . [Full Text PDF of this Article]

Author Affiliations
Rochester, Minn.

Section of Surgery (Dr. Walters), Assistant to the Surgical Staff (Dr. Ramsdell), Mayo Clinic and Mayo Foundation; Fellow in Surgery, Mayo Foundation (Dr. Engel). The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

Footnotes
Submitted for publication May 4, 1960.

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