The Mechanism of Cholestasis from Hepatic Hydatid Cysts

Ertan, Atilla; Şahın, Burhan; Kandılcı, Uğur; Acikalin, Tamer; Cumhur, Turban; Danisoglu, Vecihe

doi:10.1097/00004836-198310000-00011

Cited by 8 publications

(4 citation statements)

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“…Cholestasis observed in patients with hydatid cysts can be due to rupture of the cyst into the bile ducts, where the daughter cysts cause obstruction of the biliary tree (1,(9)(10)(11)(12)(13)(14)(15)(16). This leads to jaundice, cholangitis and biliary colicky pain and can mimic acute cholecystitis (16).…”

Section: Discussionmentioning

confidence: 99%

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BILIARY COMPLICATIONS OF LARGEECHINOCOCCUS GRANULOSUSCYSTS:

Colle

Vlierberghe

Brenard

et al. 2002

Acta Clinica Belgica

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Hydatid cysts are often incidentally found and remain clinically silent. However complications can occur. We present 2 patients who developed biliary complications due to a large hydatid cyst. In the first patient compression on the intrahepatic bile ducts and cystic duct by the cyst, caused cholangitis and cholecystitis. Moreover the cyst had ruptured into the right intrahepatic bile ducts. A sphincterotomy was performed with extraction of hydatid sand. A pericystectomy was necessary because of infectious deterioration of the patient. Albendazole was continued for 8 weeks after surgery. The second case presented with jaundice and weight-loss since 1 month. A large hydatid cyst caused compression on the bile duct bifurcation with proximal bile duct dilatation. A cystectomy was performed 2 weeks after albendazole therapy initiation, which was continued for 8 weeks after surgery. Follow-up of both surgical interventions was unremarkable. Although Echinococcus granulosus in not prevalent in Belgium, we must be aware of this pathology in patients coming from high endemic regions.

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Section: Discussionmentioning

confidence: 99%

“…Mechanical compression of the cyst on the bile ducts can also cause cholestasis (1,9,20), as in case 2 in which jaundice was the only symptom without pain or discomfort.…”

Section: Discussionmentioning

confidence: 99%

BILIARY COMPLICATIONS OF LARGEECHINOCOCCUS GRANULOSUSCYSTS:

Colle

Vlierberghe

Brenard

et al. 2002

Acta Clinica Belgica

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“…Despite the obvious dangers of percutaneous cyst puncture 6 , 7 , 11 , a report of the use of percutaneous transhepatic cholangiography (PTC) via the hepatic hydatid cyst in 13 patients with obstructive jaundice 12 showed that 10 had ruptured cysts, causing distortion and obstruction to the biliary tree with intraductal hydatid material in five cases. The remaining three cases had mechanical obstruction to bile ducts due to unruptured cysts.…”

Section: Discussionmentioning

confidence: 99%

Hepatic hydatid disease surgery

et al. 1987

Int J Clinical Practice

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“…The most common complication of hepatic hydatid cyst is rupture of the cyst because of raised pressure within it. The rupture rate into the bile ducts is 5 ± 20 % [1 ± 3] and the rupture causes icterus due to obstruction of the bile duct [4]. During enlargement of the hydatid cyst, surrounding vascular structures are displaced while the bile duct remains in the pericyst.…”

Section: Introductionmentioning

confidence: 99%