Document Detail


Intrabiliary rupture: an algorithm in the treatment of controversial complication of hepatic hydatidosis.
MedLine Citation:
PMID:  15832420     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Intrabiliary rupture (IBR) is a common and serious complication of hepatic hydatid cyst. The incidence varies from 1% to 25%. The treatment of IBR is still controversial. We aimed to design an algorithm for the treatment of hepatic hydatidosis with IBR by reviewing our cases. METHODS: Eight cases of IBR were analyzed retrospectively. Patients were evaluated according to age, sex, clinical findings, cyst number and stage, abdominal ultrasonography and CT-scan, surgical methods, complications, results and coincidental diseases. RESULTS: Female/male ratio was 1/7. Mean age was 52.12+/-18.26 years (range 24-69 years). Right upper quadrant pain, flatulence, palpable hepatic mass were symptoms common in all patients. Cholestatic jaundice was found in four cases. In all patients, cyst evacuation and omentoplasty were performed, followed by either choledochoduodenostomy, T-tube drainage, intracavitary suturing of the orifice, two cases in each. Whereas in two patients diagnosed post-operatively percutaneous drainage of biliary collection or ERCP and sphincteroplasty were added. Morbidity and hospital stay were higher in these cases. CONCLUSION: When the diagnosis of IBR can be done pre- or intra-operatively, morbidity decreases. If a biliary fistula is seen post-operatively, endoscopic procedures such as ERCP, sphincteroplasty or nasobiliary drainage can be applied.
Authors:
Kenan Erzurumlu; Adem Dervisoglu; Cafer Polat; Gokhan Senyurek; Ibrahim Yetim; Murat Hokelek
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  11     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-15     Completed Date:  2005-06-09     Revised Date:  2007-04-10    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  2472-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Medical School, Ondokuz Mayis University, 55139 Kurupelit, Samsun, Turkey. kerzurum@omu.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Algorithms*
Anthelmintics / administration & dosage
Benzimidazoles / administration & dosage
Biliary Fistula / parasitology*,  surgery
Choledochostomy
Drainage
Echinococcosis, Hepatic / complications*,  drug therapy,  surgery*
Female
Humans
Jaundice, Obstructive / parasitology,  surgery
Male
Middle Aged
Retrospective Studies
Rupture
Chemical
Reg. No./Substance:
0/Anthelmintics; 0/Benzimidazoles; 51-17-2/benzimidazole
Comments/Corrections
Comment In:
World J Gastroenterol. 2006 Aug 14;12(30):4930-1   [PMID:  16937486 ]

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