The role of emergency surgery in hydatid liver disease

World Journal of Emergency Surgery

Abdsalem S Aldarat¹  Fatma O Gyaed¹  Kalid A Algader¹  Ahmed S Thoboot¹  Mustafa A Ekheil¹  Hussen E Shwereif¹  Ali I Yahya¹ 

[1] General surgery department, Zliten Teaching Hospital and Edwaw District Hospital, Zliten, Libya

关键词: Emergency surgery;    Hydatid disease;    Liver;   

Others  :  1231364
DOI  :  10.1186/1749-7922-9-12

 received in 2013-03-12, accepted in 2013-10-06,  发布年份 2014

【 摘 要 】

Hepatic hydatid disease is very common in Libya. In Zliten hospital, we operated 400 patients with hepatic hydatid cysts over period of 20 years. All patients were symptomatic. Their ages varied from 3 to 85 years including 215 female and 185 male patients. Their symptoms varied from abdominal pain to abdominal mass 67 patients were admitted through Accident and Emergency Department with acute presentations including fever, skin rash, jaundice and shock with acute abdominal pain. Those 67 patients had necessary investigations, resuscitation and underwent emergency surgery. The hepatic cysts in all patients were excised, and the obstructive jaundice was cleared in those patients with obstructive jaundice. Unfortunately, one of the patients died two days after the surgery because of multiple organ failure (MOF) Morbidity was wound Infection, bile leak and recurrence rate were all reported in our series.

【 授权许可】

   
2014 Yahya et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Grosso G, Gruttadauria S, Biondi D, et al.: Worldwide Epidemiology of Liver Hydatidosis Including the Mediterranean Area. World J Gastroenterol 2012, 18(13):1425-1437.
• [2]Kjossev K, Losanoff J: TNRC Classification for Liver Hydatid Cysts. Int Surg 1998, 83:311-313.
• [3]Kjossev K, Losanoff J: Response to Comment on ‘Classification of Hydatid Liver Cysts’. J Gastroenterol Hepatol 2007, 22(4):604.
• [4]Kjossev K, Losanoff J: Classification of Hydatid Liver Cysts. J Gastroenterol Hepatol 2005, 20(3):35.
• [5]Kjossev K: Classification, Staging and Surgical Treatment. Sofia Bulgaria: PhD Dissertation ; 2012:165.
• [6]Dakkak A: Echinococcosis/Hydatidosis: A Severe Threat in Mediterranean Countries. Vet Parasitol 2010, 174(1–2):2-11.
• [7]Akcan A, Akyildiz H, Artis T, et al.: Peritoneal Perforation of Liver Hydatid Cysts Clinical Presentation, Predisposing Factors, and Surgical Outcome. World J Surg 2007, 31(6):1284-1291.
• [8]Dumnici A, Papiu H, Olariu T: Acute Surgical Abdomen Produced by an Abdominalized Infected Gigantic Hydatid Cyst. Case Reports. English Abstract. J Article Chirurgia (Bucur) 2004, 99(3):181-184.
• [9]Durif S, Marinkovic Z, Febvre C, et al.: Hydatid Liver Disease Revealed by Surgical Acute Abdominal Syndrome. Case Reports, English Abstract, Journal Article. Arch Pediatr 2005, 12(11):1617-1619.
• [10]Gogia N, Sharma R, Gamangatti S, et al.: Hepatic Hydatid cysts with biliary, and peritoneal rupture and transdiaphragmatic migration. Case reports, Journal article. Trop Gastroenterol 2006, 27(2):93-96.
• [11]Ghesquière F, Mourot N, Olivero de Rubiana JP, et al.: Surgery of Hepatic Hydatic Cyst. Per-operative Complications. Possibility of Anaphylactic Etiology. Case Reports, English Abstract, Journal Article. Anesth Analg (Paris) 1979, 36(11–12):561-563.
• [12]Daradkeh S, EL-Muhtaseb H, Farah G: Predictors of Morbidity and Mortality in the Surgical Management of Hydatid Cyst of the Liver. Arch Surg 2007, 392:35-39.
• [13]Kang MJ, Lee SH, Kim SJ, et al.: A Case of Multiple Intraperitoneal Cysts From Ruptured Hepatic Hydatid Cysts. Case Reports, English Abstract, Journal Article. Korean J Gastroenterol 2007, 50(3):203-206.
• [14]Ozturk G, Aydinli B, Yildirgan MI, et al.: Posttraumatic Free Intraperitoneal Rupture of Liver Cystic Echinococcosis: a Case Series and Review of Literature. Journal Article 2007, 194(3):313-316.
• [15]Haddad M, Al Awar G, Jalbout R, Kanj V, Elkattah R, Faraj W, Khalifeh MJ: New Trends in the Management of Hepatic Echinococcusgranulosus. Libya 2011, 59(3):154-159.
• [16]Filippou D, Tselepis D, Filippou G, Papadopoulos V: Advances in LiverEchinococcosis: Diagnosis and Treatment. Clin Gastroenterol Hepatol 2007, 5(2):152-159.
• [17]Dziri C, Haouet , Fingerhut A: Treatment of Hydatid Cyst of the Liver: WhereIs the Evidence? World J Surgery 2004, 28(8):731-736.
• [18]Liver Echinococcosis, Consensus Statement of The National Conference, Sofia 2003.
• [19]Papadimitriou J, Mandrekas A: The Surgical Treatment of Hydatid Disease of the Liver. Br J Surg 2005 XII, 57(6):431-433.
• [20]Nunnari G, Pinzone M, Gruttadauria S, et al.: Hepatic Echinococcosis: clinical and the Rapeutic Aspects. World J Gastroenterol 2012, 18–13:1448-1458.
• [21]Mandal S, Mandal M: Human cystic echinococcosis: epidemiologic, zoonotic, clinical, Diagnostic and Therapeutic Aspects. Asian Pac J Trop Me 2012, 5(4):253-260.
• [22]Ivanov G: Modern Approach in Diagnosis and Surgical Treatment of Liver. Echinococcosis in children and Adults. Varna, Bulgaria: PhD Dissertation; 2012:182.
• [23]Lu SF, Li JZ: Cases of Hydatid Disease of the Common Bile Duct. Journal Article. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing ZaZhi 2000, 18(3):185.
• [24]Manterola C, Barroso M, Vial M, Bustos L, Muñoz S, Losada H, Bello N, Hernández F, Carrasco R: Liver Abscess of Hydatid Origin: Clinical Features and Results of Aggressive Treatment. 2003.
• [25]Prousalidis J, Kosmidis C, Kapoutzis K, et al.: Intrabiliary Rupture of Hydatid Cysts of the Liver. Journal Article. Am J Surg 2009, 197(2):193-198.
• [26]Târcoveanu E, Vasilescu A, Moldovanu R, Vlad N, Rusu V, Stanciu C: Unusual Forms of Liver Abscesses. Rev Med Chir Soc Med Nat Las 112(3):688-697.
• [27]Coyle WJ: ERCP in Hepatic Hydatid Disease. [Comment, Journal Article]. Gastroenterol Rep 2004, 6(4):272.
• [28]Florea M, Barbu ST, Crisan M, et al.: Spontaneous External Fistula of a Hydatid Liver Cyst in a Diabetic Patient. Case Reports, Journal Article. Chirurgia (Bucur) 2008, 103(6):695-698.
• [29]Losada H, Bello N, Hernández F, Carrasco R: Liver Abscess of Hydatid Origin: Clinical Features and Results of Aggressive Treatment. 2003.
• [30]Manterola C, Barroso M, Vial M, Bustos L, Muñoz S, Losada H, Bello N, Hernández F, Carrasco R: Liver Abscess of Hydatid Origin: Clinical Features and Results of Aggressive Treatment. ANZ J Surg 2003, 73(4):220-224.