Intraoperative diagnosis of cystobiliary communications of hydatid liver cysts

Kayaalp, Cüneyt

doi:10.6061/clinics/2012(05)18

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…If intraoperative bile ducts are visible opening into the perforated cyst lumen, they must be sutured. If there is high-flow bile leakage from the drain in the postoperative period, an ERCP procedure is an option for diagnosis and treatment (sphincterotomy and stenting) ( 13 ). The present study showed a gap between the cyst wall and the bile ducts in 13 (40.63%) patients during surgery.…”

Section: Discussionmentioning

confidence: 99%

A Troublesome Complication of Hydatid Cysts; Intra-abdominal Rupture: A 10-Year Study from a High-Volume Center

Yönder,

Berhuni,

Elkan

et al. 2024

IJPA

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Background: Hydatid cyst is a parasitic infection, often caused by Echinococcus granulosus. Although it is classified as a benign disease, cyst ruptures in the abdomen can be fatal. Ruptures occur spontaneously or after trauma. We aimed to report data from patients who underwent emergency surgery due to spontaneous intra-abdominal hydatid cyst rupture. Methods: Upon a retrospective review of the records at Department of General Surgery, Faculty of Medicine, Harran University, Şanlıurfa, Turkey, we found that 34 cases were operated on due to hydatid cyst rupture between January 2012 and October 2022. All patients were operated on in an emergency, and partial cystectomy, intra-abdominal irrigation, and drainage were performed using laparotomy. The patients were evaluated in terms of age, sex, symptoms, radiological findings, laboratory results, intraoperative findings, and postoperative follow-ups. Results: Twenty-two (64.7%) female and 12 (35.3%) male patients were enrolled. The mean age was 39.1 (±17.58) years. All patients experienced spontaneous rupture. The ruptured cyst was found in the liver in 32 patients (94%), the spleen in 1 patient (3%), and the pelvis in 1 patient (3%). The diagnosis was determined using ultrasonography in 12 (35.3%) patients, computed tomography in 21 (61.8%) patients, and magnetic resonance imaging in 1 (2.9%) patient. All patients exhibited acute abdomen and leukocytosis. The average length of hospital stay was 5.14 (±1.37) days. Conclusion: Hydatid cyst rupture should be considered in cases of acute abdomen, particularly in regions where the disease is endemic, as in our region. The ruptured hydatid cyst was primarily observed in the liver (94.11% of cases).

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Section: Discussionmentioning

confidence: 99%

A Troublesome Complication of Hydatid Cysts; Intra-abdominal Rupture: A 10-Year Study from a High-Volume Center

Yönder,

Berhuni,

Elkan

et al. 2024

IJPA

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“…The ruptured cystic cavity can be evaluated directly for any cystobiliary communication, and in suspected cases, transcystic or transcholedochal saline can be injected to perform bile leakage test. [22,23] Bile duct orifices in cyst cavities should be sutured. If the bile orifices are wide or there is a high output biliary fistula, than common bile duct exploration and T-tube drainage should be performed.…”

Section: Discussionmentioning

confidence: 99%

Intraperitoneal rupture of the hydatid cyst disease: Single-center experience and literature review

Koç

Akbulut

Sahin

et al. 2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:The primary aim of this study was to present our experience in the intraperitoneal rupture of the hydatid cyst in the guidance of literature data.METHODS: Demographical, clinical, radiological and postoperative follow-up data of 29 patients who underwent surgical treatment in our institution with the diagnosis of intraperitoneal rupture of the hydatid cyst from January 2003 to July 2020 were analysed retrospectively in this study.RESULTS: Among the 29 patients with an age range of from 16 to 79 years (median= 39, IQR=25.5), 16 were male (55.2%), and 13 were female (44.8%). Intraperitoneal rupture of the hydatid cyst was spontaneous in 21 (72.4%), traumatic in seven (24.13%) (two of them were iatrogenic) and was due to shotgun in one patient. Vast majority of the patients were admitted to the emergency department in the first 24 hours after the onset of sign and symptoms. WBC varied from 8.600 to 30.900/mm 3 (median=12.100, IQR=5.7). Ruptured cysts were localised in liver (n=25, 86.2%), in spleen (n=2, 6.89%) or in pelvis (n=2, 6.89%) and diameter varied from 40 to 200 mm (median=90, IQR=50). Among the cysts ruptured in liver, 19 (76%) of them were localised in the right lobe. Among the ruptured cysts of the liver, 20 (80%) of them underwent conservative surgery (e.g., partial pericystectomy), the remaining five patients (20%) underwent a radical surgical treatment (e.g., pericystectomy). A biliary orifice was diagnosed during surgical exploration in either cyst cavity or cut surface of the liver in 12 (48%) of the patients. Patients with a dilated common bile duct or a visible biliary duct orifice in cystic cavity underwent common bile duct exploration and T-tube drainage procedure (n=6, 24%). One patient died on postoperative day one, due to cardiopulmonary complications secondary to cyst rupture. All along the postopeartive follow-up of median 1416 days, seven (24.1%) patients were diagnosed for diseased recurrence. CONCLUSION:Intraperitoneal rupture of the hydatid cyst is a life-threatening complication of hydatid cyst disease, for which diagnosis without delay and timing of surgical treatment is essential. Anaphylactic shock require rapidly initiation of medical treatment against allergic reactions. Despite scolocidal agents, vesicular spread into peritoneal cavity accounts for the major risk factor for disease recurrence. Hence, abdominal cavity should be explored cautiously.

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Analysis of Rare Spontaneous Intraperitoneal Hydatic Cyst Rupture: a Multicentric Experience

et al. 2021

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Intraoperative diagnosis of cystobiliary communications of hydatid liver cysts

Cited by 3 publications

References 2 publications

A Troublesome Complication of Hydatid Cysts; Intra-abdominal Rupture: A 10-Year Study from a High-Volume Center

A Troublesome Complication of Hydatid Cysts; Intra-abdominal Rupture: A 10-Year Study from a High-Volume Center

Intraperitoneal rupture of the hydatid cyst disease: Single-center experience and literature review

Analysis of Rare Spontaneous Intraperitoneal Hydatic Cyst Rupture: a Multicentric Experience

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