Complications of Hydatid Cysts of the Liver: Spiral Computed Tomography Findings

Alexiou, Konstantinos; Mitsos, Sofoklis; Fotopoulos, A.; Karanikas, Ioannis; Tavernaraki, K.; Konstantinidis, Fotis; Antonopoulos, Petros; Ekonomou, Nikolaos

doi:10.4021/gr460e

Cited by 26 publications

(30 citation statements)

References 18 publications

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“…Omentoplasty has been advocated for its absorptive capacity of residual fluid in the cystic cavity. It stimulates macrophage migration into the operated area 15,22 . However, risk of anaphylaxis and peritoneal dissemination may have been overestimated.…”

Section: Resultmentioning

confidence: 99%

Outcome of Surgically Treated 79 Patients of Hepatic Hydatidosis: A Single Center Tertiary Care Hospital Experience in Bangladesh

et al. 2020

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Background: Proper patient selection for most appropriate treatment option for hepatic hydatid is crucial to ensure successful treatment outcome. Chemotherapy, newer approaches, like PAIR procedure, (puncture, aspiration, injection and reaspiration) laparoscopy are available. As the indications for these approaches are restricted, surgery remains the key treatment strategy with hope for complete cure. Radical surgical excision coupled with chemotherapy and long-term aggressive chemotherapy for partially resected ensures lowest morbidity and mortality. Methods: This cross sectional observational study of 15-year single-institution experience, intended to further validate different surgical procedures in management of hydatid disease of liver and its outcome. Patients were randomly selected irrespective of their age, sex and mode of presentation. Different preferred surgical treatment modalities, perioperative complications, recurrences, and length of hospital stay were retrospectively analyzed. Result: The study was carried out on 79 Bangladeshi patients diagnosed hepatic hydatidosis, treated surgically from January 2002 to December 2017 in BIRDEM General Hospital. Among them was no anastomotic leakage or mortality in the immediate postoperative period in our series. Conclusion: This study revealed, proper case selection and consideration of risks-benefits, indicationscontraindications for each case of Hydatid cyst of liver, for making a decision for type and timing of surgery is key to successful outcome. Surgery is the mainstay of treatment strategy. Radical surgery is key to effective and successful outcome, ensures better quality of life and prevents recurrence of the disease. Journal of Surgical Sciences (2018) Vol. 22 (2) : 118-124

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Section: Resultmentioning

confidence: 99%

Outcome of Surgically Treated 79 Patients of Hepatic Hydatidosis: A Single Center Tertiary Care Hospital Experience in Bangladesh

et al. 2020

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“…Although most cases of liver hydatid disease remain silent over several years, fatal complications in the form of rupture or secondary infection may develop [ 6 ]. Our patient was known to have a hepatic hydatid cyst which was asymptomatic for years.…”

Section: Discussionmentioning

confidence: 99%

“…Liver echinococcosis is usually asymptomatic, presenting as an incidental clinical or radiological finding. Symptoms, mostly abdominal pain and discomfort, develop due to an increase in cyst size [ 6 ]. Complications of liver hydatid cyst disease are rare, yet life-threatening without early prompt management.…”

Section: Introductionmentioning

confidence: 99%

A Conservative Management of Spontaneously Ruptured Liver Hydatid Cyst

et al. 2021

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“…In previous works, the rate of superinfection in hydatid cysts ranged from 1% to 8%, but these studies were specifically designed to evaluate this complication, and the inclusion criteria were not well defined. [23][24][25] Our group conducted a retrospective study in 2009 that included patients with positive cultures or purulent drainage and included 37 cases in 12 years. 26 Gram-positive cocci, Enterobacteriaceae, and Aspergillus spp.…”

Section: Discussionmentioning

confidence: 99%

Complications Associated with Initial Clinical Presentation of Cystic Echinococcosis: A 20-year Cohort Analysis

Collado-Aliaga

Romero‐Alegría

Alonso‐Sardón

et al. 2019

The American Journal of Tropical Medicine and Hygiene

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Cystic echinococcosis (CE) is a chronic, complex, and overlooked zoonotic disease caused by Echinococcus granulosus. In humans, it may result in a wide spectrum of clinical manifestations depending on the type of complications, ranging from asymptomatic infection to fatal disease. The primary complications and risk factors associated with CE are not well defined. We performed a retrospective, observational study of inpatients diagnosed with CE from January 1998 to December 2017 in the public health-care system of western Spain. Five hundred and six cases were analyzed. More than half of the patients (302 [59.7%]) were asymptomatic, and the diagnoses were made incidentally. A total of 204 (40.3%) patients had complications associated with CE; 97 (47.5%) were mechanical, 62 (30.4%) were infectious, 15 (7.3%) were immunoallergic, and 30 (14.7%) involved a combination of complications. Mortality was higher in patients with mechanical complications (9.4%) than in patients with infectious complications (5.6%) and in patients with allergic complications (0%) (odds ratio = 19.7, 95% CI, 4.3-89.1, P < 0.001). In summary, CE frequently results in complications, especially in the liver in younger patients and, regardless of other variables, such as size or stage of cyst. Mechanical problems and superinfection are the most frequent complications. CE is an obligatory diagnosis in patients with urticarial or anaphylactoid reactions of unknown cause in endemic areas.

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Complications of Hydatid Cysts of the Liver: Spiral Computed Tomography Findings

Cited by 26 publications

References 18 publications

Outcome of Surgically Treated 79 Patients of Hepatic Hydatidosis: A Single Center Tertiary Care Hospital Experience in Bangladesh

Outcome of Surgically Treated 79 Patients of Hepatic Hydatidosis: A Single Center Tertiary Care Hospital Experience in Bangladesh

A Conservative Management of Spontaneously Ruptured Liver Hydatid Cyst

Complications Associated with Initial Clinical Presentation of Cystic Echinococcosis: A 20-year Cohort Analysis

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