RT Journal Article
SR Electronic
T1 Rupture of liver hydatid cysts into the peritoneal cavity. A challenge in endemic regions
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 37
OP 42
VO 31
IS 1
A1 Unalp, Haluk R.
A1 Yilmaz, Yeliz
A1 Durak, Evren
A1 Kamer, Erdinc
A1 Tarcan, Ercument
YR 2010
UL http://smj.org.sa/content/31/1/37.abstract
AB OBJECTIVE: To evaluate the clinical presentation and early and long-term outcomes of patients treated surgically for intraperitoneal ruptured liver hydatid cysts.METHODS: The medical records of 21 patients with rupture of hydatid cysts were evaluated retrospectively between January 2000 and April 2009 at Izmir Ataturk Training and Research Hospital, Izmir, Turkey, as were the records of 368 patients with hydatid cysts. Age, gender, symptoms, laboratory findings, diagnostic procedures, surgical treatment modalities, in-hospital stay, morbidity, mortality, and recurrence were evaluated.RESULTS: Sixteen of these patients (76.2%) were women. The mean age was 43.8 years. Cysts were single in 16 cases (76.2%). In 14 cases (66.7%) cysts were localized only in the right lobe. There was also a cyst in the spleen in 4 patients (19%). Simple falls or direct abdominal minor trauma was responsible in 8 patients (38.1%), and pedestrian mishaps in 4 (19%). Nine (42.8%) patients experienced spontaneous rupture. External drainage was performed in 12 (57.1%) patients and omentoplasty in 9 patients (42.8%) to manage the cyst cavity. A total of 11 morbidities developed in 9 patients (42.8%). There was no postoperative mortality. The mean hospital stay was 11.3–7.4 days, and mean follow-up was 63.1–31.3 months. The recurrence rate was 23.8%.CONCLUSION: The morbidity and recurrence rates of surgical interventions for ruptured hydatid cysts are high. This pathology, although rare, should be included in the differential diagnosis of an acute abdomen in endemic areas.