BACKGROUND: A serious complication of cystic echinococcus (CE) is the rupture of the cysts. Free intra-abdominal rupture occurs in approximately 3.2% of all cases. Posttraumatic rupture of liver CE is very rare. METHODS: The objective of the current study was to evaluate the clinical and radiographic findings and surgical treatment of this complication. RESULTS: Twenty patients with posttraumatic ruptured liver CE were treated. The incidence rate of hydatid rupture was 3.06%. The common presenting symptom was abdominal pain. All patients were operated on under emergency conditions. There were 26 cysts in 20 patients, and all of the cysts were treated surgically. CONCLUSION: Hydatid cyst rupture must be kept in mind in the management of trauma patients with cystic mass in the liver in particular and free intra-abdominal fluid, especially in the endemic area. We preferred conservative (unroofing associated with various procedures for the management of the residual cavity) rather than radical procedures such as hepatic resection or pericystectomy for the surgical treatment.
BACKGROUND: A serious complication of cystic echinococcus (CE) is the rupture of the cysts. Free intra-abdominal rupture occurs in approximately 3.2% of all cases. Posttraumatic rupture of liver CE is very rare. METHODS: The objective of the current study was to evaluate the clinical and radiographic findings and surgical treatment of this complication. RESULTS: Twenty patients with posttraumatic ruptured liver CE were treated. The incidence rate of hydatid rupture was 3.06%. The common presenting symptom was abdominal pain. All patients were operated on under emergency conditions. There were 26 cysts in 20 patients, and all of the cysts were treated surgically. CONCLUSION: Hydatid cyst rupture must be kept in mind in the management of traumapatients with cystic mass in the liver in particular and free intra-abdominal fluid, especially in the endemic area. We preferred conservative (unroofing associated with various procedures for the management of the residual cavity) rather than radical procedures such as hepatic resection or pericystectomy for the surgical treatment.
Authors: O Toumi; F Noomen; R Salem; H Rabeh; S B Jabra; I Korbi; S Bannani; M Nasr; K Zouari; G Mondher; A Hamdi Journal: Eur J Trauma Emerg Surg Date: 2016-03-23 Impact factor: 3.693
Authors: Giovanni Vennarecci; Simone Manfredelli; Nicola Guglielmo; Andrea Laurenzi; Delia Goletti; Giuseppe Maria Ettorre Journal: Updates Surg Date: 2016-04-28
Authors: Zulfu Arikanoglu; Fatih Taskesen; İbrahim Aliosmanoğlu; Mesut Gul; Mehmet Guli Cetincakmak; Akin Onder; Murat Kapan Journal: Int Surg Date: 2012 Jul-Sep
Authors: Giuseppe Maria Ettorre; Giovanni Vennarecci; Roberto Santoro; Andrea Laurenzi; Cecilia Ceribelli; Antonio Di Cintio; Elisa Busi Rizzi; Mario Antonini Journal: J Med Case Rep Date: 2012-09-13