Obstructive jaundice secondary to intra-biliary rupture of hepatic hydatid cyst.
Of 58 cases of obstructive jaundice treated in a three year period, six were due to the intrabiliary rupture of hydatid cysts of the liver. Eosinophilia of more than 10%, raised alkaline phosphatase, positive indirect haemagglutination test were noted in all six cases. Plain X-ray of the abdomen, ultrasound, endoscopic retrograde cholangio-pancreatography and CT scan were useful modalities for definite pre-operative diagnosis. All patients had operative treatment which consisted of cyst drainage, partial pericystectomy, curettage of the remaining cavity which was stitched with tube drain, cholecystectomies, choledochotomy and T-tube drainage. They all recovered satisfactorily and without complications in a follow-up period of two years.
Humayun
M S
MS
Department of Surgery, Al-Jahra Hospital, Safat, Kuwait.
Rady
A M
AM
Soliman
G M
GM
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002768:Choledochostomy; D002780:Cholestasis, Intrahepatic / Q000188:drug therapy / Q000209:etiology*; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011292:Premedication; D012422:Rupture, Spontaneous
D000900:Anti-Bacterial Agents