Hydatid cysts of the liver opening in the biliary tract. Report of 64 cases

Annales de chirurgie
M DaaliA Hda

Abstract

The aim of this retrospective study was to report a series of patients with hydatid cyst opened in the biliary tract, who were operated in Morocco. From 1991 to 1998, among 250 hydatid cysts of the liver operated in the same center, 64 were in communication with the biliary tract (25%). There were 39 men and 25 women. The mean age was 34.2 years (range: 6-60). The revealing symptoms were abdominal pain, jaundice or cholangitis, but the biliary fistula was asymptomatic in more than 50% of the patients. The hydatid cysts were recognized by ultrasonography in all the patients but the biliary fistula was only suspected in 17 patients. The surgical procedure included drainage and sterilization of the cyst, resection of the protruding wall of the cyst (84.4%), unblockage of the main hepatic duct (n = 21) associated with a Kehr drainage, and treatment of the bilio-cystic fistula with suture (n = 23) or double side drainage (n = 24) or cystobiliary disconnection (n = 15). There were two postoperative deaths due to septic shock (n = 1) and encephalopathy secondary to a biliary cirrhosis (n = 1). The morbidity rate was 25%. Among complications, there were four subphrenic abscesses, four prolonged biliary leakages and two intestinal obstr...Continue Reading

Citations

Feb 24, 2006·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Kishor TaoriManish Bhagat
Dec 8, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Manouchehr KhoshbatenNaser Hajavi
Apr 8, 2009·World Journal of Surgery·Chadli DziriAbdeljelil Zaouche
Oct 1, 2004·World Journal of Surgery·Chadli DziriAbe Fingerhut
Apr 16, 2005·World Journal of Gastroenterology : WJG·Kenan ErzurumluMurat Hokelek
Sep 15, 2009·Liver International : Official Journal of the International Association for the Study of the Liver·Mario A SecchiCarlos Ledesma
Jan 13, 2015·World Journal of Gastroenterology : WJG·Concepción Gomez I GavaraFernando San Juan Rodríguez
Sep 9, 2015·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Mohamed BorahmaAbdellah Essaid
Jul 5, 2011·Journal of Visceral Surgery·O BaraketS Bouchoucha

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