[Complicated hydatid cysts of the liver].
In 328 cases of hydatid disease of the liver operated between 1979 and 1989, 51 (15.8%) had complicated cysts. The most frequent complication was intrabiliary rupture (2/3 of all complications). The others were intraperitoneal rupture in 7 cases (13.8%), suppuration in 7 cases (13.8%) and intrathoracic rupture in 3 cases (5.8%). Among the intrabiliary ruptured cysts, T-drainage was performed in 15 cases, choledochoduodenostomy was performed in 12 cases, and sphincteroplasty was performed in 7 cases. The cases of intraabdominal rupture were operated immediately. The suppurated cysts were marsupialized in 3 cases and drained in 4 cases. The 3 cases of bronchobiliary fistula were treated by T-tube drainage of the common bile duct, drainage of the pleural space, repair of the diaphragm and closure of the communicating bronchus. In this series, the mortality rate was 7.8% and the recurrence rate was 9.8%.
Ergüney
S
S
Cerrahpaşa tip Fakültesi Genel Cerrahi Anabilim Dali, Istanbul, Turquie.
Tortum
O
O
Taspinar
A H
AH
Ertem
M
M
Gazioğlu
E
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001982:Bronchial Diseases / Q000209:etiology* / Q000601:surgery; D002648:Child; D002758:Cholangiography; D002763:Cholecystectomy; D004322:Drainage; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000209:etiology* / Q000601:surgery; D012008:Recurrence
Les kystes hydatiques compliqués du foie.