Hydatid Liver Disease: A Perspective in Treatment

Menteş, Ali

doi:10.1159/000171448

Cited by 46 publications

(49 citation statements)

References 5 publications

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“…[3,4] Mechanical obstruction of papillary orifice by daughter cysts resulting in reflux of bile with hydatid material and increase in intrapancreatic pressure may be mechanism for pancreatitis. [2,[6][7][8][9][10] Our case supports this clinical entity.…”

Section: Discussionsupporting

confidence: 67%

“…[1,2] In 1% to 25% of cases, hydatid cyst ruptures into the biliary tree, causing biliary colic, obstructive jaundice, and cholangitis. [5] Reports in the literature reveal that hydatid acute pancreatitis presents as edematous pancreatitis.…”

Section: Discussionmentioning

confidence: 99%

“…[2,[6][7][8][9][10] Surgery following initial episode is common choice for most cases. Drainage of cyst, appropriate cavity management, and T-tube drainage of common bile duct to control bile leakage are principles of operation.…”

Section: Discussionmentioning

confidence: 99%

“…Cysts are most common form of disease appearance, typically in the liver. [1,2] In many cases, lack of symptoms is major obstacle to early diagnosis. Localization and size of cyst play major role in late symptoms, which often include abdominal pain, weight loss, and icterus.…”

Section: Introductionmentioning

confidence: 99%

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An unusual appearance of complicated hydatid cyst: necrotizing pancreatitis

Sıkar

Kaptanoğlu²,

Kement³

2016

Ulus Travma Acil Cerrahi Derg

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Hydatid acute pancreatitis is a rare condition and always presents as consequence of acute edematous pancreatitis. Intrabiliary rupture of hepatic hydatid cysts and obstruction of papillary orifice with hydatid membrane is possible mechanism. A 49-year-old man was admitted with epigastric and right upper quadrant pain, nausea, and vomiting. Computed tomography scan showed 5 x 5 cm cyst in left hepatic lobe, which had ruptured into the biliary tract and caused necrotizing pancreatitis. Endoscopic retrograde cholangiopancreatography trial failed. Surgical choice was drainage of cyst, insertion of T-Tube, exploration of common bile duct and omentoplasty. No additional necessary surgical intervention was necessary for necrotizing pancreatitis. Clinical and laboratory findings resolved rapidly and there was no recurrent pancreatitis episode during 1 year of follow-up. Hydatid edematous and necrotizing pancreatitis have similar progress. Recovery is quick and uneventful after elimination of mechanical obstruction of papillary orifice.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An unusual appearance of complicated hydatid cyst: necrotizing pancreatitis

Sıkar

Kaptanoğlu²,

Kement³

2016

Ulus Travma Acil Cerrahi Derg

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“…In WHO informal working group on echinococcosis 2010 guidelines, it is stated that possible methods for the treatment of the hydatid cyst have not been compared and there is no "best treatment option" (7). Traditional treatment is surgical; however, mortality (0%-6.3%), complication (12.5%-80%), and recurrence (2.2%-22%) rates of this modality are high (8)(9)(10). Medical treatment alone is not efficient, but it can be used as an adjunct before or after the percutaneous treatment as a prophylaxis for abdominal dissemination (9,11).…”

Section: Discussionmentioning

confidence: 99%

A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience

Nayman

Güler²,

Keskin³

et al. 2015

Diagn Interv Radiol

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Sonographically guided percutaneous treatment of hepatic hydatid cysts: Long-term results

Ödev

Paksoy

Arslan

et al. 2000

J. Clin. Ultrasound

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Purpose The purpose of this study was to evaluate the safety and efficacy of sonographically guided percutaneous drainage and irrigation of hepatic hydatid cysts. Methods Sixty‐one patients with 84 hepatic hydatid cysts were treated using the puncture, aspiration, injection, and reaspiration (PAIR) technique under sonographic guidance. Patients with cysts larger than 6 cm in diameter underwent PAIR followed by percutaneous drainage (PAIR‐PD). The cysts were sterilized by the injection of 1 of 2 scolicidal agents, 20% hypertonic saline solution (38 patients) or 0.5% silver nitrate (23 patients). All patients underwent follow‐up examinations for 1 month–6 years after aspiration. Clinical and radiologic examinations and laboratory analyses were performed every month for the first 6 months and then at 3‐month intervals. Results Serial sonographic examinations revealed a heterogeneous echo pattern in 78 cysts (93%); a progressive decrease in diameter in 76 cysts (90%); calcification of the cyst wall, cystic contents, or both in 10 cysts (12%); and complete disappearance of 1 cyst (1%) in a patient who had been monitored for over 6 years. Five patients developed urticaria, and 6 developed fever. One patient developed a biliary fistula after the first aspiration attempt. Two patients developed infection of the cyst cavity after PAIR‐PD and were successfully treated with oral antibiotics. An anaphylactic reaction developed in 2 patients and was successfully treated with antiallergenic medication. No recurrence of hydatid disease after PAIR or PAIR‐PD was observed in any patient over the follow‐up period of 72 months (mean, 26 ± 27 months). Conclusions Percutaneous drainage of hydatid cysts is a safe, effective, and reliable treatment. Antiallergenic medication is required before PAIR or PAIR‐PD. Both sclerosing agents, hypertonic saline and silver nitrate solutions, gave excellent results. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:469–478, 2000.

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Hydatid Liver Disease: A Perspective in Treatment

Cited by 46 publications

References 5 publications

An unusual appearance of complicated hydatid cyst: necrotizing pancreatitis

An unusual appearance of complicated hydatid cyst: necrotizing pancreatitis

A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience

Sonographically guided percutaneous treatment of hepatic hydatid cysts: Long-term results

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