Asian Journal of Case Reports in Surgery

Simultaneous Discovery of Gallbladder Adenocarcinoma during Hepatic Hydatid Cyst Management: A Rare Clinical Case with Complex Implications

Bacem Zaidi *

University of Sousse, Sousse, Les Aghlabides Hospital, Kairouan, Tunisia.

Souha Jaouadi

University of Sousse, Sousse, Les Aghlabides Hospital, Kairouan, Tunisia.

Sihem Sindi

University of Sousse, Sousse, Les Aghlabides Hospital, Kairouan, Tunisia.

Zied Mansi

University of Sousse, Sousse, Les Aghlabides Hospital, Kairouan, Tunisia and Tunisian Society of Orthopedic and Traumatology Surgery, Tunis, Tunisia.

Wael Gazzah

University of Sousse, Sousse, Les Aghlabides Hospital, Kairouan, Tunisia and Urology Department, Les Aghlabides Hospital, Kairouan, Tunisia.

Khalil Ben Salah

University of Sousse, Sousse, Les Aghlabides Hospital, Kairouan, Tunisia.

*Author to whom correspondence should be addressed.

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Abstract

Hepatic hydatid cysts, rare but complex, present significant challenges in clinical management. In this case study, a 57-year-old patient with persistent pain in the right hypochondrium and bilious vomiting was diagnosed with gallbladder adenocarcinoma. The initial management of the cyst revealed the presence of gallbladder adenocarcinoma, which raised important diagnostic and therapeutic considerations.

The coexistence of a hydatid cyst and gallbladder adenocarcinoma presents a complex scenario that requires a comprehensive understanding of both echinococcosis and gallbladder cancer.
Possible underlying mechanisms for the coexistence of gallbladder adenocarcinoma include chronic inflammation and irritation to the gallbladder. The presence of a metastatic lymph node at the neck of the gallbladder and involved tumor margins added complexity to the case. The diagnosis of a hydatid cyst and gallbladder adenocarcinoma in the same patient presents unique challenges, as the symptoms and imaging findings could be attributed to either condition individually. Accurate diagnosis relies on a combination of imaging techniques, serological tests, and histopathological analysis.

Collaborative efforts among medical professionals and institutions can contribute to the accumulation of more cases and the development of evidence-based guidelines for diagnosis and management. Further research is needed to better understanding of the underlying mechanisms, risk factors, and clinical implications of this rare association.

Keywords: Hydatid cyst, gallbladder adenocarcinoma, complex implication

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