title: Clear cystic fluid in hepatic hydatidosis does not rule out communication between cysts and the biliary system.
abstract: Hydatid cysts (HCs) of the liver are a major problem in the areas to which they are endemic. Approximately 15% of hepatic cysts have been shown to communicate with the biliary system. In 2 cases in which patients were undergoing HC surgery, the cystic fluid appeared to be clear, but after the germinative membranes were removed, a connection with the biliary system could be seen. This observation suggests that the decision to inject a scolicidal or sclerosing agent during surgery should be evaluated carefully, as should the use of percutaneous HC treatment. Otherwise, conditions associated with serious morbidity, such as sclerosing cholangitis, may occur.
authors.affiliation: Department of Pediatric Surgery, Gazi University Medical Faculty, Besevler, Ankara, Turkey. kamez@yahoo.com
authors.forename: Kaan
authors.initials: K
authors.lastname: Sönmez
authors.forename: Ramazan
authors.initials: R
authors.lastname: Karabulut
authors.forename: Zafer
authors.initials: Z
authors.lastname: Türkyilmaz
authors.forename: A Can
authors.initials: AC
authors.lastname: Basaklar
authors.forename: Nuri
authors.initials: N
authors.lastname: Kale
mesh_terms: D000293:Adolescent; D001658:Biliary Fistula / Q000209:etiology* / Q000628:therapy; D002648:Child; D020420:Cyst Fluid; D004322:Drainage; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male