Intrabiliary rupture of liver hydatid cyst: a case report and review of the literature

Avcu, Serhat; Ünal, Özkan; Arslan, Halil

doi:10.1186/1757-1626-2-6455

Cited by 21 publications

(35 citation statements)

References 11 publications

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“…cyst cases) (5,(8)(9)(10)) is usually asymptomatic and may be diagnosed intra-operatively (bile within the cyst) or post-operatively by an external biliary fistula through a drain or wound. Frank or major fistula is a wide communication between the cyst and the biliary system that allows the contents of the cyst to drain into the biliary system causing obstructive jaundice, cholangitis, secondary infection of the cyst, or even anaphylaxis (11).…”

Section: Introductionmentioning

confidence: 99%

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Nakeeb

Salem²,

Sorogy³

et al. 2017

Turk J Gastroenterol

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Section: Introductionmentioning

confidence: 99%

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Nakeeb

Salem²,

Sorogy³

et al. 2017

Turk J Gastroenterol

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“…11 Hydatid cyst rupture may be precipitated by physical trauma or excessive effort as in violent coughing or vomiting. 12 Depending on the clinical presentation, the intrabiliary rupture is classified into frank or occult. 3 Patients are acutely ill in the former, presenting with fever, abdominal pain and jaundice.…”

Section: Discussionmentioning

confidence: 99%

“…4 It has an incidence between 3 and 17%. 12 In occult rupture, the only complaint may be abdominal pain. Signs are limited in this form of rupture.…”

Section: Discussionmentioning

confidence: 99%

Role of endoscopic retrograde cholangiography in ruptured hepatic hydatid cyst

Gupta¹

2015

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Aim: To report endoscopic retrograde cholangiopancreatography (ERCP) findings of intrabiliary hydatid cyst rupture Material and methods: A retrospective study of cases with intrabiliary rupture of hydatid cyst was conducted. A total of 4 cases (all female with a mean age of 32 years) were included. ERCP and ultrasound data were evaluated. Assessment involved number, location, size, internal and wall characteristics of cyst; intrahepatic biliary radicle dilatation (IHBRD); common bile duct (CBD) dilatation and evidence of extrabiliary rupture on ultrasound. ERCP evaluation included IHBRD, CBD dilatation, communication between cysts and intrahepatic biliary radicles (IHBR) and filling defects within the IHBR and CBD. Treatment details were also obtained.Results: A total of 5 cysts were evaluated in 4 patients. Left lobe cysts were most common (n=4). Segment II/III were the most commonly affected segments (n=3). Cyst outline was smooth and cystobiliary communication noted in all cases. Deformation of cyst wall was noted in 2 cases. Isolated (left or right) IHBRD lateralised to the side of the cyst was most common (n=4). CBD dilatation was seen in all cases with a mean calibre of 1.4 cm. Concomitant extrabiliary rupture was seen in 3 cases. Endoscopic management was done in all cases without complications. Three patients underwent surgical excision after a mean period of 8 weeks following ERCP.Conclusion: Isolated IHBRD lateralized to the side of hydatid cyst with CBD dilatation is the commonest ERCP finding of intrabiliary rupture of hydatid cyst.

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“…Liver hydatidosis is a zoonotic disease which is caused by the larvae of the genus Echinococcus and is endemic to certain areas of the planet [1,2,3,4,5,6,7,8,9,10,11,12,13]. Among the complications that liver hydatid cysts (LHC) may cause, the most common (and the most serious) is communication between the LHC and the bile duct [3,4,5,6,7,8,9,10,11,12,13,14].…”

Section: Introductionmentioning

confidence: 99%

“…Among the complications that liver hydatid cysts (LHC) may cause, the most common (and the most serious) is communication between the LHC and the bile duct [3,4,5,6,7,8,9,10,11,12,13,14]. Cystobiliary communication (CBC) may occur anywhere in the bile duct.…”

Section: Introductionmentioning

confidence: 99%

Frank Intrabiliary Rupture in Liver Hydatidosis Located in the Hilar Plate: A Surgical Challenge

et al. 2013

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Background: Frank intrabiliary rupture (FIR) is a severe complication that occurs in around 30% of patients with liver hydatidosis. When FIR is present, the contents of the cyst may pass into the common bile duct and cause a variety of complications. If the FIR is located in the hilar confluence, surgical repair is a challenge. Currently there are no data regarding its optimum treatment. Material and Methods: Between May 2007 and December 2012, we treated 59 patients with liver hydatidosis. Four patients, all women, with a mean age of 51.7 years, had hydatid cysts located between segments IVb and V and FIR affecting the hilar plate. In 3 cases, the initial clinical condition was obstructive jaundice. The fourth patient presented recurrence after having undergone two operations as a child. Results: In each patient a major hepatectomy was performed with hilar plate reconstruction (3 left and 1 right). Morbidity included mild biliary fistula (1 patient) and abdominal collection resolved by percutaneous drainage (1 patient). There was no mortality. During follow-up (47 months), no recurrences of the disease or biliary strictures were recorded. Conclusions: FIR is a severe complication of liver hydatidosis. When it is located in the hilar confluence, liver resection may be the best surgical option for definitive resolution of the problem.

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Intrabiliary rupture of liver hydatid cyst: a case report and review of the literature

Abstract: Herein, we report a 66 year old woman who was diagnosed to have intrabiliary rupture of liver hydatid cyst with demonstrative computed tomography, magnetic resonance imaging, and magnetic resonance cholangiopancreatography findings, with a review of the literature.

Cited by 21 publications

References 11 publications

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Cystobiliary communication in hepatic hydatid cyst: predictors and outcome

Role of endoscopic retrograde cholangiography in ruptured hepatic hydatid cyst

Frank Intrabiliary Rupture in Liver Hydatidosis Located in the Hilar Plate: A Surgical Challenge

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