title: Budd-Chiari syndrome secondary to hepatic echinococcosis.
abstract: OBJECTIVE
  Hydatid cyst of liver is a parasitosis which is an endemic state in Tunisia and is a very rare cause of Budd-Chiari syndrome. The purpose of this study was to report the clinical features, radiological investigations and therapeutic management.
  
  
  METHODS
  A retrospective analysis of 12 patients who underwent surgery for Budd-Chiari syndrome secondary to hepatic echinococcosis between January 1990 and December 2004 was performed.
  
  
  RESULTS
  The series included ten females and two males with a mean age of 36 years. Budd-Chiari syndrome was subacute in 75% of cases. Ultrasound showed a compression of hepatic veins by cysts with a mean diameter of 13 cm situated in at least two hepatic segments. US Doppler and CT-scan of the liver provided the diagnosis in all cases. Laparotomy was performed in all cases. Operative mortality was 8% and morbidity 66% due to biliary fistula and deep abscess formation. Hepatic vein outflow was successfully re-established in four patients.
  
  
  CONCLUSIONS
  Budd-Chiari syndrome is a rare but severe complication of hydatid cyst of the liver. Early diagnosis is necessary to improve prognosis.
authors.affiliation: Service de chirurgie A, Hôpital La Rabta, Tunis. h_bdioui@yahoo.fr
authors.forename: Heykal
authors.initials: H
authors.lastname: Bedioui
authors.forename: Kais
authors.initials: K
authors.lastname: Nouira
authors.forename: Sofiene
authors.initials: S
authors.lastname: Ayadi
authors.forename: Amine
authors.initials: A
authors.lastname: Daghfous
authors.forename: Malek
authors.initials: M
authors.lastname: Bakhtri
authors.forename: Rachid
authors.initials: R
authors.lastname: Ksantini
authors.forename: Faouzi
authors.initials: F
authors.lastname: Chebbi
authors.forename: Fadhel
authors.initials: F
authors.lastname: Fteriche
authors.forename: Mohamed
authors.initials: M
authors.lastname: Jouini
authors.forename: Montassar
authors.initials: M
authors.lastname: Kacem
authors.forename: Mnif
authors.initials: M
authors.lastname: Emna
authors.forename: Zoubeir
authors.initials: Z
authors.lastname: Ben Safta
mesh_terms: D000328:Adult; D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000469:parasitology* / Q000601:surgery; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies