Intrabiliary Rupture of Hepatic Hydatid Cysts: Diagnostic Accuracy of MR Cholangiopancreatography

Erden, Ayşe; Örmeci, Necati; Fítöz, Suat; Erden, İlhan; Tanju, Sumru; Genç, Yasemin

doi:10.2214/ajr.07.2068

Cited by 29 publications

(29 citation statements)

References 14 publications

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“…Deformation of cyst in the absence of treatment is an important sign of cyst rupture. 8 We found this in two patients. Wani et al found cyst wall irregularity in 3 out of 6 patients on MDCT.…”

Section: Discussionmentioning

confidence: 62%

“…9 In the present study, we could demonstrate cystobiliary communication in all cases. This sign, however has a low sensitivity, around 33% on CT/ MRI 8 . Indirect signs are often useful in making a diagnosis of intrabiliary rupture.…”

Section: Discussionmentioning

confidence: 94%

“…8 This is classified as a communicating cyst rupture; the other two forms are contained and direct rupture. 11 Hydatid cyst rupture may be precipitated by physical trauma or excessive effort as in violent coughing or vomiting.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 However, ERCP has the advantage of biliary decompression and hence management of patients. 9,10 A combination of ERCP and a cross-sectional imaging technique represent the best method of evaluating patients with suspected intrabiliary rupture.…”

Section: Tropical Gastroenterology 2015;36(1):21-24mentioning

confidence: 99%

“…9,10 A combination of ERCP and a cross-sectional imaging technique represent the best method of evaluating patients with suspected intrabiliary rupture. 8 …”

Section: Tropical Gastroenterology 2015;36(1):21-24mentioning

confidence: 99%

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Role of endoscopic retrograde cholangiography in ruptured hepatic hydatid cyst

Gupta¹

2015

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Aim: To report endoscopic retrograde cholangiopancreatography (ERCP) findings of intrabiliary hydatid cyst rupture Material and methods: A retrospective study of cases with intrabiliary rupture of hydatid cyst was conducted. A total of 4 cases (all female with a mean age of 32 years) were included. ERCP and ultrasound data were evaluated. Assessment involved number, location, size, internal and wall characteristics of cyst; intrahepatic biliary radicle dilatation (IHBRD); common bile duct (CBD) dilatation and evidence of extrabiliary rupture on ultrasound. ERCP evaluation included IHBRD, CBD dilatation, communication between cysts and intrahepatic biliary radicles (IHBR) and filling defects within the IHBR and CBD. Treatment details were also obtained.Results: A total of 5 cysts were evaluated in 4 patients. Left lobe cysts were most common (n=4). Segment II/III were the most commonly affected segments (n=3). Cyst outline was smooth and cystobiliary communication noted in all cases. Deformation of cyst wall was noted in 2 cases. Isolated (left or right) IHBRD lateralised to the side of the cyst was most common (n=4). CBD dilatation was seen in all cases with a mean calibre of 1.4 cm. Concomitant extrabiliary rupture was seen in 3 cases. Endoscopic management was done in all cases without complications. Three patients underwent surgical excision after a mean period of 8 weeks following ERCP.Conclusion: Isolated IHBRD lateralized to the side of hydatid cyst with CBD dilatation is the commonest ERCP finding of intrabiliary rupture of hydatid cyst.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Tropical Gastroenterology 2015;36(1):21-24mentioning

confidence: 99%

“…9,10 A combination of ERCP and a cross-sectional imaging technique represent the best method of evaluating patients with suspected intrabiliary rupture. 8 …”

Section: Tropical Gastroenterology 2015;36(1):21-24mentioning

confidence: 99%

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