{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:41:53Z","timestamp":1777416113448,"version":"3.51.4"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T00:00:00Z","timestamp":1716768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Cystic echinococcosis is a public health concern worldwide and is endemic in rural communities in South Africa (Shaw et al., 2006). The management of hydatid liver disease is of vital socio-economic importance within the infected communities (Centers for Disease Control and Prevention [Internet]. Echinococcosis). Often, surgical intervention is needed, and this carries its own morbidity and economic burden in our low-to-middle income setting (Acta Trop., 2003). Definitive endoscopic management is rarely considered and offers an exciting option with decreased morbidity to the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>This is a case report of a 36-year-old male who presented with a large right lobe liver hydatid cyst causing abdominal discomfort and pain. He also described early satiety and weight loss with malaise. The symptoms had been present for approximately 8-months duration. The diagnosis of a hydatid liver cyst was made on positive serology and imaging (CE1). The disease was managed with medical treatment using a full course of albendazole initially and then endoscopic drainage into the duodenum using a cautery-enhanced lumen apposing metal stent. There has been no recurrence up to the present time and complete symptom and cyst resolution has been noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Given the success of this unconventional management, this case report will help in providing a low-morbidity management option in this endemic disease in certain selected cases. It also provides in detail how to use this option as a definitive management pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This management option required dynamic thinking and a new application of a revolutionary technology which has changed endoscopic management of a variety of conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109825","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T20:02:42Z","timestamp":1716926562000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A case report of definitive endoscopic management of a large right liver lobe hydatid cyst - A novel approach"],"prefix":"10.1097","volume":"120","author":[{"given":"Neha","family":"Kumar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imraan Ismail","family":"Sardiwalla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R3-47-20260325","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/S0001-706X(02)00223-1","article-title":"WHO Informal Working Group on Echinococcosis International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings","volume":"85","year":"2003","journal-title":"Acta Trop."},{"issue":"6","key":"R4-47-20260325","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.gassur.2004.10.016","article-title":"Changing concepts in the management of liver hydatid disease","volume":"9","author":"Dervenis,","year":"2005","journal-title":"J. Gastrointest. Surg."},{"key":"R5-47-20260325","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1007\/s00423-023-03043-8","article-title":"Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques","volume":"408","author":"Elmoghazy,","year":"2023","journal-title":"Langenbeck's Arch. Surg."},{"issue":"5","key":"R6-47-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"key":"R7-47-20260325","doi-asserted-by":"crossref","DOI":"10.1590\/0102-672020220002e1699","article-title":"Therapeutic approach of complicated hydatid disease: role of endoscopic retrograde cholangiopancreatography in cholangiohydatidosis","volume":"35","author":"Gonz\u00e1lez-Arboleda,","year":"2022","journal-title":"ABCD Arq Bras Cir Dig."},{"issue":"1","key":"R8-47-20260325","doi-asserted-by":"crossref","first-page":"124","DOI":"10.3748\/wjg.v21.i1.124","article-title":"Review of the treatment of liver hydatid cysts","volume":"21","author":"Gomez,","year":"2015","journal-title":"World J. Gastroenterol."},{"key":"R9-47-20260325","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/1749-7922-9-12","article-title":"The role of emergency surgery in hydatid liver disease","volume":"9","year":"2014","journal-title":"World Journal of Emergency Surgery"},{"key":"R10-47-20260325","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1016\/0016-5085(90)90358-8","article-title":"A new therapeutic approach for hydatid liver cysts. Aspiration and alcohol injection under sonographic guidance","volume":"98","author":"Filice,","year":"1990","journal-title":"Gastroenterology"},{"key":"R11-47-20260325","doi-asserted-by":"crossref","first-page":"1452","DOI":"10.1016\/0016-5085(93)90355-G","article-title":"Percutaneous drainage versus albendazole therapy in hepatic hydatidosis: a prospective, randomized study","volume":"104","author":"Khuroo,","year":"1993","journal-title":"Gastroenterology"},{"key":"R12-47-20260325","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ejrad.2006.01.014","article-title":"Percutaneous imaging-guided treatment of hydatid liver cysts: do long-term results make it a first choice?","volume":"59","author":"Kabaalioglu,","year":"2006","journal-title":"Eur. J. Radiol."},{"issue":"2","key":"R13-47-20260325","doi-asserted-by":"crossref","first-page":"90","DOI":"10.4103\/1658-631X.136994","article-title":"Management options in hepatic hydatid disease","volume":"2","author":"Mohamed","year":"2014","journal-title":"Saudi Journal of Medicine and Medical Sciences"},{"key":"R14-47-20260325","doi-asserted-by":"crossref","first-page":"44","DOI":"10.4103\/0976-5042.202822","article-title":"Endoscopic ultrasound diagnosis of hydatid membranes in nonobstructive biliary system","volume":"8","author":"Chandra,","year":"2017","journal-title":"J Dig Endosc"},{"key":"R15-47-20260325","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1007\/BF00705324","article-title":"Endoscopic observations of the residual cavity after liver hydatid disease surgery","volume":"2","author":"Eleftheriadis,","year":"1988","journal-title":"Surg. 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Gastroenterol."},{"key":"R19-47-20260325","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2022.1002031","article-title":"Current uses of electro-cautery lumen apposing metal stents in endoscopic ultrasound guided interventions","volume":"9","author":"Yi,","year":"2022","journal-title":"Front. Med."},{"issue":"10","key":"R20-47-20260325","doi-asserted-by":"crossref","first-page":"1829","DOI":"10.1007\/s11605-011-1649-9","article-title":"Hepatic hydatid: PAIR, drain or resect","volume":"15","year":"2011","journal-title":"J. Gastrointest. 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