[Outcomes of injuries of the liver and gallbladder in patients with opisthorchiasis].
The authors had 10 patients with isolated injury to the gallbladder and 51 patients with injury to the liver in coexistent opisthorchiasis. An emergency operation was undertaken in all of them. The structural changes of the hepatobiliary system in chronic opisthorchiasis in man and the intraductal biliary hypertension induced by them form a morphofunctional complex which promotes the escape of bile and the development of the biliary peritonitis even in mild injury to the liver. Cholecystectomy in indicated in isolated injuries to the gallbladder. Decompression of the biliary tract and drainage of the abdominal cavity are necessary for the prevention of biliary peritonitis in the postoperative period in patients with opisthorchiasis. The total mortality was 17.6%.
Zubov
N A
NA
Amelin
S P
SP
Tret'iakov
A M
AM
D000328:Adult; D002763:Cholecystectomy; D004322:Drainage; D004630:Emergencies; D005260:Female; D005704:Gallbladder / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008297:Male; D009889:Opisthorchiasis / Q000150:complications* / Q000601:surgery; D010538:Peritonitis / Q000517:prevention & control
Iskhody travm pecheni i zhelchnogo puzyria u bol'nykh opistorkhozom.