Chirurgische Therapie bei Echinococcus-Zysten der Leber

Göksoy, Ertuğrul; Saklak, Muharrem; Sarıbeyoğlu, Kaya; Schumpelick, Volker

doi:10.1007/s00104-008-1521-y

Cited by 10 publications

(11 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This disease is generally asymptomatic at first. Provided that their diameter remains less than 5 cm, the cysts rarely become symptomatic [4]. The case described here is typical in this respect.…”

Section: Discussionmentioning

confidence: 97%

“…The case described here is typical in this respect. The infection gives rise to nonspecific symptoms (abdominal pain, digestive disturbances, nausea, vomiting, weight loss, fever, jaundice) and secondary complications (cyst rupture, anaphylaxis) [4,5]. Asymptomatic calcified echinococcal cysts require no treatment.…”

Section: Discussionmentioning

confidence: 99%

“…If symptoms develop, operative treatment is the method of choice [3]. Pre- and postoperative anthelmintic therapy is recommended [4], since it reduces the risk of recurrence and of intraperitoneal dissemination of the infection after rupture or intraoperative damage to the cyst [6]. In the present case albendazole (in the form of Eskazole ® ) was used in accordance with WHO recommendations.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A patient presenting with abdominal pain to the general practitioner: a case report

Frese¹,

Jonas

Sandholzer³

2009

Cases Journal

View full text Add to dashboard Cite

IntroductionRight-sided upper abdominal pain is a common cause of presentation to general practitioners.Case presentationAn otherwise well 46-year-old woman presented to her general practitioner with intermittent abdominal pain that had been present for several months. The only abnormality found at the initial consultation was moderate tenderness in the right upper abdomen. The laboratory tests that were ordered showed elevated parameters of inflammation. Sonography suggested the presence of an echinococcal cyst in segment VIII of the liver. Computed tomography confirmed this finding and showed no other cysts. On the basis of serological tests and the clinical findings, a diagnosis of Echinococcus granulosus infection was made. The patient was therefore admitted to hospital for surgical removal of the cyst. Her postoperative recovery was without complication and she remained free of symptoms.ConclusionEchinococcus granulosus infections are rare in Germany, with an incidence of 1:1,000,000. The sonographic appearances are generally characteristic and permit diagnosis. Treatment is pharmacological (albendazole, mebendazole) and surgical. It is curative in the vast majority of cases. The possibility of echinococcal infection should be considered in patients, especially immigrants, with abdominal pain.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A patient presenting with abdominal pain to the general practitioner: a case report

Frese¹,

Jonas

Sandholzer³

2009

Cases Journal

View full text Add to dashboard Cite

show abstract

“…Secondary abdominal hydatidosis can occur by a traumatic rupture of the parenchymal organs containing the hydatid cysts or in the form of an iatrogenic intraperitoneal spread. It may be isolated or multiple [6][7][8], and may also be located in the spleen, pancreas, omentum, pelvic abdomen, sigmoid colon, and retroperitoneum, intraabdominally [7][8][9]. It causes some non-specific clinical symptoms, such as abdominal pain, loss of appetite, and weight loss.…”

Section: Introductionmentioning

confidence: 99%

Secondary Multiple Intraabdominal Hydatidosis as Presumptive Sequelae of Primary Renal Echinococcosis: Clinical and Histopathologic Correlation

Şengül¹,

Aydin²,

Şengül³

et al. 2021

Cureus

View full text Add to dashboard Cite

To present an extraordinary and likely first case of secondary multiple intraabdominal hydatidosis, probably as a sequel to primary renal hydatid cyst surgery. A 34-year-old male who underwent a right nephrectomy four years ago for renal hydatidosis was admitted. His abdominopelvic computed tomography scan revealed the hypodense lesions adjacent to the anterior lobe of the liver, splenic hilus, right common iliac vein, and left paracolic area. He underwent the total surgical resection and the histopathologic evaluation revealed the hydatidosis (echinococcosis) and the medical therapy, Albendazole: 15 mg/kg/day, was administrated for three months. No recurrence has occurred after the clinical and radiologic follow-up. To the best of our knowledge, it is an extreme and first case of secondary multiple intraabdominal hydatidosis as a sequel to the primary renal echinococcosis surgery, in the English language literature. Providers should be aware of considering a primary focus as encountering multiple intraabdominal hydatidosis.

show abstract

“…Despite its benign nature, Echinococcus granulosus causes serious fi nancial and manpower loss and even death in case of complications (1). Medical treatment, percutaneous drainage and surgical treatment are current treatment options of intra abdominal HD (2,3). Use of scolicidal agents is a mandatory step in the interventional treatment of hydatid cysts.…”

mentioning

confidence: 99%

Scolicidal activity of taurolidine for the treatment of hydatid disease

Aydin

Teksöz²,

Aytaç³

et al. 2012

BLL

View full text Add to dashboard Cite

Abstract:Objectives: In this experimental study, we have evaluated in vivo and in vitro activities of taurolidine (TRD) against protoscolices of Echinococcus granulosus. Background: Scolicidal agent application is mandatory for the interventional treatment of hydatid cysts. Serious adverse effects of current scolicidal agents forced the scientist to search for less toxic chemicals. Methods: One milliliter of protoscolices suspension was administered into twelve Petri's dishes, six of them containing 5 ml of isotonic saline, and six of them containing 5 ml (5 mg/ml) TRD. Forty, male Balb/c mice were divided into fi ve equal groups. Group 1: protoscolices inoculated group; Group 2: protoscolices inoculated and thereafter immediately administered with a single dose intravenous (IV) 0.5 ml TRD (400 mg/kg); Group 3: protoscolices inoculated and thereafter immediately administered with a single dose intraperitoneal (IP) 0.5 ml TRD (400 mg/kg); Group 4: three months after inoculating the protoscolices, one day before the sacrifi ce single dose IV 0.5 ml TRD (400 mg/kg) administered; Group 5: three months after inoculating the protoscolices, one day before the sacrifi ce single dose IP 0.5 ml TRD (400 mg/kg) administered. Results: All the protoscolices were dead in TRD-added Petri's Dishes in 90 minutes. In group 2 and group 3, no mouse had an intraabdominal hydatid cyst. Conclusion:The results of this study are encouraging us to suggest TRD as an alternative scolicidal agent. Further clinical studies are needed to defi ne the effectiveness and the mode of application of TRD for the treatment of hydatid disease (Tab. 1, Fig. 4, Ref. 30). Full Text in PDF www.elis.sk.

show abstract

Chirurgische Therapie bei Echinococcus-Zysten der Leber

Cited by 10 publications

References 47 publications

A patient presenting with abdominal pain to the general practitioner: a case report

A patient presenting with abdominal pain to the general practitioner: a case report

Secondary Multiple Intraabdominal Hydatidosis as Presumptive Sequelae of Primary Renal Echinococcosis: Clinical and Histopathologic Correlation

Scolicidal activity of taurolidine for the treatment of hydatid disease

Contact Info

Product

Resources

About