PMID: 11921501Mar 30, 2002Paper

Hydatid disease of the liver in children: evaluation of surgical treatment

The Journal of International Medical Research
Fehmi CelebiD Oren

Abstract

The medical records of 55 paediatric patients with hepatic hydatidosis, who were treated between 1990 and 2001 at Atatürk University, Turkey, were reviewed retrospectively. The most common symptoms at presentation were abdominal mass (32.7% of cases) and pain (81.8% of cases) in the right upper quadrant of the abdomen. Cysts were found in the right lobe in 41 patients, in the left lobe in four patients and in both lobes in 10 patients. Multiple hepatic cysts were present in 12 cases and eight patients also had cysts in other organs. Surgical procedures were evacuation of the cyst and management of the cavity with tube drainage, capitonnage, omentoplasty, cystectomy or segmentectomy. Long-lasting biliary fistula (two patients) and cholangitis (two patients) developed following evacuation and tube drainage, and one patient developed cholangitis after capitonnage. This review suggests that omentoplasty and capitonnage are more effective than tube drainage in the management of the cyst cavity.

References

Apr 1, 1977·The Surgical Clinics of North America·A J Walt
Apr 11, 1975·Annals of Surgery·J W LewisM D Kerstein
Jun 1, 1970·The British Journal of Surgery·J Papadimitriou, A Mandrekas
Sep 17, 1983·Lancet·A G SaimotJ P Coulaud
Jul 1, 1980·Archives of Surgery·I SayekY Sanaç
Dec 2, 1999·European Journal of Radiology·O Akhan, M N Ozmen

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Citations

Mar 20, 2012·Journal of Pediatric Surgery·Akgun OralAhmet Bedii Salman
Mar 19, 2015·Journal of Pediatric Surgery·Bahattin AydogduGulay Tireli

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