Intrabiliary rupture of liver hydatid cyst: a case report and review of the literature

Avcu, Serhat; Ünal, Özkan; Arslan, Rabin

doi:10.1186/1757-1627-2-6455

Cited by 5 publications

(23 citation statements)

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“…In the Table 1, most patients were between 20 -50 years representing (66.6%), this in comparable to other studies [5] [8]. The male affected more than female; 7 males versus 5 females, this is also comparable with some studies [1] [2] while in other studies female were more [7].…”

Section: Discussionsupporting

confidence: 86%

“…Intrabiliary rupture occurs into the right duct in 55% -60% of cases, into the left duct in 25% -30% and rarely into the confluence or gall bladder [3] [4]. There are three types of communications: the occult one when the endocyst or cyst contents remain within the pericyst, communicating type where the cystic contents spill in to the small biliary canaliculi, and the third type is the frank rupture with most of the contents of the cyst spill to the biliary tract; these represent 5% -7% and the patient complain of right hypochondria pain, fever and jaundice [1] [2] [5].…”

Section: Introductionmentioning

confidence: 99%

“…The accepted treatment of IBRH is surgery in the form of radical hepatic resection and total pericystectomy, although conservative treatment in the form of cyst evacuation termed percutaneous aspiration injection repair (PAIR) followed by capsuloraphy or external drainage has been reported [1] [2] [7]. Surgical treatment some-times is followed by complications like biliary cutaneous fistula, biloma and bile peritonitis in the frequency (4% -28%) [5]. With the introduction of endoscopic retrograde pancreatico-cholangiography (ERCP) pre-or post-operatively, these complications were greatly reduced [2].…”

Section: Introductionmentioning

confidence: 99%

“…With the introduction of endoscopic retrograde pancreatico-cholangiography (ERCP) pre-or post-operatively, these complications were greatly reduced [2]. The RECP interventions include sphincterotomy with or without stenting, nasobiliary drainage and balloon dilatation followed by evacuation making ERCP to play a pivotal role in the diagnosis and therapeutic treatment of IBRH [1] [5]. Until recently, ERCP is used as adjunct to surgery pre-or post-operatively to reduce surgical complication and the role of ERCP in the nonoperative management was described only in case reports or small case series [1] [12].…”

Section: Introductionmentioning

confidence: 99%

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The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Management of Intra-Biliary Rupture of Liver Hydatid Cysts (IBRH): Follow-Up of 12 Cases

Alshekhani¹,

Alkarbuli²,

Alqazi³

et al. 2014

CRCM

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Background: Intra-biliary rupture of hydatid cyst [IBRH] is not a rare complication of hydatid disease of the liver and surgery until recently is the only definitive treatment. With the introduction of ERCP preoperatively or postoperatively there was a great reduction in the operative complications. There were reports in which the ERCP was the sole treatment of this condition. Objective: To evaluate role of ERCP in the management of cases of IBRH. Design: A retrospective study of 7 cases of IBRH and prospective study of 5 cases of IBRH managed by ERCP. Setting: The ERCP Unit of Kurditan Center for Gastroenterology & Hepatology, Asulaimaneyah-Iraqi, Kurdistan, Iraq. Main Outcome Measurements: Improvement in the symptoms, obstructive liver functions pattern and ultrasonic findings in these patients following ERCP management. Methods: This is a study of 12 cases of IBRH managed by ERCP in the Kurdistan Center of Gastroenterology (KCGE) in Asulaimaneyah-Iraq, from 2007-2010. Seven cases of these were studied retrospectively from the available information on the center computers and on follow-up of these patients, while the other five patients were studied prospectively during the study period. We collected the available information: laboratory investigations, trans-abdominal ultrasonography (TAUS), computed tomography (CT) or magnetic resonance images (when available), before and after ERCP. We depended on the liver functions, trans-abdominal ultrasound and the clinical presentation before and after the ERCP; some patients were contacted via mobile phone for follow-up. Results: Cases were more males than females (58% vs 42%); most were from the ages between 30-50 years. The clinical presen

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Management of Intra-Biliary Rupture of Liver Hydatid Cysts (IBRH): Follow-Up of 12 Cases

Alshekhani¹,

Alkarbuli²,

Alqazi³

et al. 2014

CRCM

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“…Invisible or occult communication occurs in 10-37% of CE patients, however, frank cysto-biliary communication (FCBC) is an open intercommunication between the cystic cavity and intra-hepatic bile ducts that allows the contents of the cyst to drain directly into the bile duct as well as biliary poring into the cystic cavity [7]. FCBC could cause obstructive jaundice, cholangitis, cystic infection, gastrointestinal discomfort and naplulaxis [8].…”

Section: Introductionmentioning

confidence: 99%

Double versus single T-tube drainage for frank cysto-biliary communication in patients with hepatic cystic echinococcosis: A retrospective cohort study with median 11 years follow-up

Shalayiadang

Jiang

Yimiti

et al. 2020

Preprint

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Background: Partial peri-cystectomy is one of the major surgical approaches for hepatic cystic echinococcosis (CE) and has been practiced in most centers worldwide. Cysto-biliary communication (fistula, leakage, rupture) is a problematic issue in CE patients. T-tube is a useful technique in situations where exploration and decompression are needed for common bile duct (CBD), however, postoperative biliary complications for cystic cavity still remains to be studied in depth. Materials and Methods: A retrospective cohort analysis of CE cases in our single center database from 2007 March to 2012 December was performed. Patients (n=51) were divided into two cohorts: double T-tube drainage (one at CBD for decompression and one at the fistula for sustaining in cystic cavity, n=23) group and single T-tube drainage cohort (only one at CBD for decompression, n=28). Short-/long-term postoperative complication focusing on biliary system was recorded in detail and they were followed-up for median 11 years.Results: Overall biliary complication rates for double and single T-tube drainages were 17.4% vs. 35.7%. Short-term complications ranged from minor to major leakages, cavity infection and abscess formation, and prevalence was 17.4% vs. 21.4% respectively for double and single T-tube groups; most importantly, double T-tube drainage group had predominant advantage regarding long-term complications (0% vs. 14.3%), which was biliary stricture needing surgery and it was observed in single T-tube drainage group.Conclusions: Double T-tube drainage had better outcomes without procedure specific postoperative biliary complications than single T-tube drainage. Meanwhile, we recommend long-term follow-up when comparing residual cavity related biliary complication in CE patients as it could happen lately.

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Intra‐biliary hydatid cyst rupture: A rare case report with superinfection

Al‐Asbahi,

Jaradat,

Abu‐Jeyyab

et al. 2024

Clinical Case Reports

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Key Clinical MessageHydatid cysts, primarily found in the liver (70%), are caused by parasitic infections and can lead to severe complications such as cyst rupture. This case report describes a unique instance of a hydatid liver cyst occupying the right lobe with a communicating part with the biliary tree that ruptured showing a concurrent superinfection.AbstractHydatid cysts are a clinical pathology resulting from parasitic infections. They may occur in different organs of the body. However, these are mostly found in the liver (70%). This can cause significant complications including cyst rupture. Several case reports have described various hydatid cyst ruptures; however, only a few have reported an intra‐biliary hydatid cyst rupture. A 24‐year‐old male patient presented with right upper quadrant pain, jaundice, dark urine, and pale stool. Imaging studies, including Magnetic resonance cholangiopancreatography (MRCP) and computed tomography (CT), revealed a beavertail liver, cystobiliary communication and intrahepatic biliary tree‐ruptured hydatid cysts. The cyst was in the right liver lobe, which is the most common site for hydatid cysts. Surgical intervention involving laparoscopic de‐roofing and cyst removal resulted in a smooth recovery without complications. Several case reports have described various hydatid cyst ruptures; however, only a few have reported originally placed intra‐biliary hydatid cyst ruptures. This case report describes a unique instance of a hydatid liver cyst occupying the right lobe with a communicating part with the biliary tree that ruptured showing a concurrent superinfection.

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Intrabiliary rupture of liver hydatid cyst: a case report and review of the literature

Cited by 5 publications

References 0 publications

The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Management of Intra-Biliary Rupture of Liver Hydatid Cysts (IBRH): Follow-Up of 12 Cases

The Role of Endoscopic Retrograde Cholangiopancreatography (ERCP) in the Management of Intra-Biliary Rupture of Liver Hydatid Cysts (IBRH): Follow-Up of 12 Cases

Double versus single T-tube drainage for frank cysto-biliary communication in patients with hepatic cystic echinococcosis: A retrospective cohort study with median 11 years follow-up

Intra‐biliary hydatid cyst rupture: A rare case report with superinfection

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