title: [Errors in the diagnosis and treatment of spontaneous perforation of the subcapsular bile ducts in patients with opisthorchiasis].
abstract: Ten cases of spontaneous perforation of subcapsular bile ducts in patients with opisthordiasis are analysed. In 8 of them perforation of the bile duct developed against the background of purulent cholangitis. In addition to opisthordiasis during the operative procedure cancer of the liver was found in 3 patients and cancer of the pancreas - in 1. All these patients were operated upon: suturing of the perforated bile duct wall and cholecystostomy were performed in 6 patients, cholecystomy - in 3, incision of a subhepatic abscess - in 1. Postoperatively 6 patients died, 4 of them having neoplasms.
mesh_terms: D000038:Abscess / Q000150:complications; D000328:Adult; D000368:Aged; D001652:Bile Ducts; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002761:Cholangitis / Q000150:complications; D003951:Diagnostic Errors; D006801:Humans; D008107:Liver Diseases / Q000150:complications; D008113:Liver Neoplasms / Q000150:complications; D008875:Middle Aged; D009889:Opisthorchiasis / Q000150:complications*; D010190:Pancreatic Neoplasms / Q000150:complications; D012422:Rupture, Spontaneous
vernacular_title: Oshibki diagnostiki lecheniia spontannoĭ perforatsii podkapsul'nykh zhelchnyk protokov u bol'nykh opistorkhozom