title: Surgical Management of Liver Hydatid Cyst Related Non-traumatic Emergencies: Single Center Experience.
abstract: BACKGROUND
  Vast majority of complaints and physical examination findings of hydatid disease are common in emergency room patients. Different emergency presentations of hydatid cyst disease and their treatment are evaluated. We studied preoperative laboratory findings of these patients to identify any parameters to predict hydatid cyst-biliary system communication.
  
  
  METHODS
  We reviewed the files of patients who underwent emergency surgery due to liver hydatid cysts and related conditions between March 2010 and March 2014 in Ankara Numune Research and Training Hospital, Turkey, retrospectively. Patients were grouped, regarding to the presence of biliary system involvement.
  
  
  RESULTS
  Twelve patients (9 males, 3 females) were included. We identified two groups. Biliary system involved group (n=9) had significantly higher pre-operative gamma glutamine transferase and alkaline phosphatase levels (P=0.036). No significant difference was noted regarding other pre-operative laboratory findings. Mortality rate was 17%.
  
  
  CONCLUSIONS
  Medical literature lacks sufficient information about hydatid disease related non-traumatic emergency surgeries. Preoperative elevated gamma glutamyl transferase and alkaline phosphatase levels may be questioned as a warning about cyst-biliary communication in hydatid cyst patients with abdominal pain in the emergency room. Future studies with larger sample sizes are needed. In addition, prolongation of the time before diagnosis in these patients may result in life threatening complications.
authors.affiliation: Dept. of General Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Tolga
authors.initials: T
authors.lastname: Dinc
authors.affiliation: Dept. of General Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Selami Ilgaz
authors.initials: SI
authors.lastname: Kayilioglu
authors.affiliation: Dept. of General Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Okan Murat
authors.initials: OM
authors.lastname: Akturk
authors.affiliation: Dept. of General Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Faruk
authors.initials: F
authors.lastname: Coskun
keywords: Biliary system; Emergency; Hydatid cyst; Liver