TY  - JOUR
TI  - Intraperitoneal rupture of the hydatid cyst disease: Single-center experience and literature review
AB  - BACKGROUND: The primary aim of this study was to present our experience in the intraperitoneal rupture of the hydatid cyst inthe guidance of literature data.METHODS: Demographical, clinical, radiological and postoperative follow-up data of 29 patients who underwent surgical treatmentin our institution with the diagnosis of intraperitoneal rupture of the hydatid cyst from January 2003 to July 2020 were analysed retrospectivelyin this study.RESULTS: Among the 29 patients with an age range of from 16 to 79 years (median= 39, IQR=25.5), 16 were male (55.2%), and 13were female (44.8%). Intraperitoneal rupture of the hydatid cyst was spontaneous in 21 (72.4%), traumatic in seven (24.13%) (two ofthem were iatrogenic) and was due to shotgun in one patient. Vast majority of the patients were admitted to the emergency departmentin the first 24 hours after the onset of sign and symptoms. WBC varied from 8.600 to 30.900/mm3 (median=12.100, IQR=5.7).Ruptured cysts were localised in liver (n=25, 86.2%), in spleen (n=2, 6.89%) or in pelvis (n=2, 6.89%) and diameter varied from 40to 200 mm (median=90, IQR=50). Among the cysts ruptured in liver, 19 (76%) of them were localised in the right lobe. Among theruptured cysts of the liver, 20 (80%) of them underwent conservative surgery (e.g., partial pericystectomy), the remaining five patients(20%) underwent a radical surgical treatment (e.g., pericystectomy). A biliary orifice was diagnosed during surgical exploration ineither cyst cavity or cut surface of the liver in 12 (48%) of the patients. Patients with a dilated common bile duct or a visible biliaryduct orifice in cystic cavity underwent common bile duct exploration and T-tube drainage procedure (n=6, 24%). One patient diedon postoperative day one, due to cardiopulmonary complications secondary to cyst rupture. All along the postopeartive follow-up ofmedian 1416 days, seven (24.1%) patients were diagnosed for diseased recurrence.CONCLUSION: Intraperitoneal rupture of the hydatid cyst is a life-threatening complication of hydatid cyst disease, for which diagnosiswithout delay and timing of surgical treatment is essential. Anaphylactic shock require rapidly initiation of medical treatmentagainst allergic reactions. Despite scolocidal agents, vesicular spread into peritoneal cavity accounts for the major risk factor for diseaserecurrence. Hence, abdominal cavity should be explored cautiously.
AU  - Yilmaz, Sezai
AU  - Tunçer, Adem
AU  - Akbulut, Sami
AU  - Koc, Cemalettin
AU  - SAHIN, TEVFIK TOLGA
DO  - 10.14744/tjtes.2020.32223
PY  - 2020
JO  - Ulusal Travma ve Acil Cerrahi Dergisi
VL  - 26
IS  - 5
SN  - 1306-696X
SP  - 789
EP  - 797
DB  - TRDizin
UR  - http://search/yayin/detay/372983
ER  -