Intrabiliary rupture of the hydatid cyst of the liver

Abstract

During the last 20 years, 265 patients underwent surgery for liver echinococcosis. Forty-five (17%) had frank ruPture of the hydatid cyst into the intrahepatic bile ducts. The most common clinical manifestations were colicky right hypochondrial pain and obstructiVe jaundice accompanied by fever and chills. A correct preoperative diagnosis was made in 35 patients, based mainly on the history, clinical manifestations, and laboratory findings. In the remaining 10 patients, the diagnosis was established at OPeration. The parasitic cyst was removed and the common bile duct explored in a!l patients. The latter was usually drained with a T-tub~, except for 3 patients in whom a choledochoduodenostomy was performed. The residual cyst cavity was drained in most patients with a Pezzer catheter and closed following partial pericystectomy. Our resuits were satisfactory. There was only 1 death due to sup. purative cholangitis.

Intrabiliary and Intraperitoneal Rupture of Hydatid Cyst: Report of Two Cases and Review of the Literature

“…The right hepatic duct communicates in 55-60% and left hepatic duct in 25-30%. 5 Infection causes fever, chills, pain due to rapid increase in size of the cyst, septicemia, and rupture with drainage into the bile duct or peritoneum. In endemic areas these manifestations are very suggestive of hydatid disease.…”

“…4 Others have advised cholecystectomy if the gallbladder is close to the pericyst, because of the difficulty of cholecystectomy if gallstones occur or other surgery is needed. 5 Cholecystectomy, however, facilitates common bile duct exploration and obviates recurrences in the gallbladder itself. 8 Choledochoduodenostomy or sphincterotomy carries additional surgery and higher morbidity and mortality.…”

Surgical treatment of hydatid cysts with large biliocystic fistula results from a monocentric surgical experience

“…The mortality rate varies according to the series from 0 to 6%. 4,12,13,[15][16][17] Medical complications are between 1.6% and 7%, and are dominated by respiratory complications and urinary tract infections. 4 Non-specific surgical complications are dominated by wound infection encountered in 10-18% of cases.…”

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

“…Intrabiliary rupture is reported to be seen in a range of 6,1-17% [2][3][4]. In a study which was done when the ultrasonography (US) and computed tomography (CT) were not awailable, this range was reported to be 41% [4].…”