title: Intrabiliary rupture in liver hydatid cysts: results of 20 years' experience.
abstract: To assess the diagnostic tools and results of treatment of biliary rupture observed in liver cyst hydatids, clinical findings of 562 patients with hepatic hydatid disease were reviewed. Imaging techniques were not very effective to determine intrabiliary ruptures. Rates of rupture sizes determined in the patients were as follows; 22 (%24.7) large, 38 (%42.7) small, and 29 (%32.6) occult. Most frequently utilized procedures for patients with intrabiliary rupture were Roux-en-y cystojejunostomy, tube drainage + omentoplasty, sutured fistula + omentoplasty, and sutured fistula + tube drainage. Of the total 25 external biliary fistulas, 21 closed spontaneously. Of the four fistulas that did not close, one was managed by internal drainage and three by endoscopic sphincterotomy. Preoperative diagnosis of biliary rupture in liver hydatid cyst allows early planning of operation and helps the surgeon design the operative strategy. In the treatment of cases with large rupture, internal drainage may be proposed.
authors.affiliation: Department of General Surgery, Ataturk University, School of Medicine, Ezzorum, Turkey. ilhanyil@atauni.edu.tr
authors.forename: M I
authors.initials: MI
authors.lastname: Yildirgan
authors.forename: M
authors.initials: M
authors.lastname: Başoğlu
authors.forename: S S
authors.initials: SS
authors.lastname: Atamanalp
authors.forename: B
authors.initials: B
authors.lastname: Aydinli
authors.forename: A A
authors.initials: AA
authors.lastname: Balik
authors.forename: F
authors.initials: F
authors.lastname: Celebi
authors.forename: D
authors.initials: D
authors.lastname: Oren
mesh_terms: D000328:Adult; D000368:Aged; D015766:Albendazole / Q000627:therapeutic use; D000714:Anastomosis, Surgical; D001653:Bile Ducts, Intrahepatic / Q000503:physiopathology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D015331:Cohort Studies; D003131:Combined Modality Therapy; D013505:Digestive System Surgical Procedures / Q000379:methods; D004322:Drainage / Q000379:methods; D004444:Echinococcosis, Hepatic / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D012720:Severity of Illness Index; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler
chemical_list: D015766:Albendazole