Document Detail

Hepatobronchial fistula caused by hydatid disease. The Dunedin experience 1952-79.
MedLine Citation:
PMID:  7292377     Owner:  NLM     Status:  MEDLINE    
Despite intensive hydatid control measures in New Zealand, hepatopulmonary fistula resulting from infection by the echinococcus granulosus still occurs. Although the patients may quickly become debilitated from coughing bile and pus and associated septic complications, appropriate surgical therapy is usually effective. The exact diagnosis may be obscure, but it is helped by a high index of suspicion. A retrospective study of eight patients seen over a 27-year period is presented, and principles of management are outlined. Where biliary hypertension is not present adequate evacuation of the intrahepatic cysts, obliteration of the cyst space, freeing of the adherent lung, and closure of the pulmonary fistula(e) usually give satisfactory long-term results. Pulmonary lobectomy or segmental resection is seldom required.
J Borrie; J H Shaw
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Thorax     Volume:  36     ISSN:  0040-6376     ISO Abbreviation:  Thorax     Publication Date:  1981 Jan 
Date Detail:
Created Date:  1981-12-21     Completed Date:  1981-12-21     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0417353     Medline TA:  Thorax     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  25-8     Citation Subset:  IM    
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MeSH Terms
Biliary Fistula / etiology
Bronchial Fistula / etiology*
Child, Preschool
Echinococcosis, Hepatic / complications*
Liver Diseases / etiology*
Middle Aged
New Zealand
Retrospective Studies

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