Abstract |
The hepatic hydatid cyst can lead to serious complications as a perforation into the biliary system or into the respiratory tract. The perforation into the peritoneal cavity can become dramatic, characterized by acute abdomen, usually with anaphylaxis. We recently treated a patient with a liver hydatid cyst perforated into the abdominal cavity. Computed tomography was a useful diagnostic tool, and the patient underwent emergency surgery. At laparotomy, 8 liters of hydatid liquid with floating daughter cysts and purulent material was found. The peritoneal cavity was washed with hypertonic solution, the hepatic cyst with daughter cysts. was removed, and a subtotal pericystectomy was performed. The critical clinical picture did not allow a cholecystectomy or a probe of the common hepatic duct to verify a biliary leakage. A biliary fistula appeared after 4 days and was successfully treated by endoscopic sphincterotomy. No anaphylactic phenomena were seen, probably because the great quantity of purulent material caused inactivity of the allergic component.
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Authors | Antonio Di Cataldo, Raffaele Lanteri, Stefania Caniglia, Marco Santangelo, Rosario Occhipinti, Giovanni Li Destri |
Journal | International surgery
(Int Surg)
2005 Jan-Mar
Vol. 90
Issue 1
Pg. 42-4
ISSN: 0020-8868 [Print] Italy |
PMID | 15912899
(Publication Type: Case Reports, Journal Article)
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Topics |
- Biliary Fistula
(therapy)
- Echinococcosis, Hepatic
(complications, surgery)
- Humans
- Male
- Middle Aged
- Peritoneum
(parasitology)
- Rupture, Spontaneous
- Sphincterotomy, Endoscopic
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