Acute Abdomen Caused by Spontaneous Perforation of Hydatid Liver Cyst

Year 2017, Volume: 44 Issue: 3, 251 - 256, 20.09.2017

Faik Tatli , Orhan Gozeneli Yusuf Yucel Ali Uzunköy Hüseyin Cahit Yalçın Abdullah Ozgönül Abuzer Dirican

https://doi.org/10.5798/dicletip.339000

Abstract

Objectives: The aim of this study was to evaluate acute abdomen cases that developed as a result of spontaneous perforations of hydatid liver cysts in our regions, where hydatid cyst disease is endemic.

 

Methods: The records of 218 hydatid cyst patients who underwent surgery at our clinic between 01.01.2012 and

01.08.2016 were retrospectively reviewed.
Twelve (5.5%) cases who required emergency surgery
due to the rupture
of hydatid cysts were included in this study. The cases were reviewed with respect to age, sex, current symptoms, radiological findings, laboratory results and post-operative results.

Results: Ten (83.3%) of the 12 patients were females, and two (16.7%) were males, and their me an age was 40.4 y (23–69). All patients with spontaneous perforations
had
hydatid liver cysts. Eleven of the patients had a single cyst, and one had
 multiple cysts. Nine patients were diagnosed with
 ultrasonography (US),  and  three patients were diagnosed with computed tomography (CT).

Conclusions:
Hydatid cystic rupture should be considered in cases of an acute abdomen in regions where hydatid cystic disease is endemic. We believe that patients with a single cyst that is peripherally located in the liver ha ve a
high risk of spontaneous
perforation.
Patients who are diagnosed with hydatid cystic rupture should undergo emergency surgery, followed by
medical treatment.

Keywords

Hydatid liver cyst, spontaneous perforation

References

• 1. Kayaalp C. Hydatid cyst of liver. In: Blumgart LH, Belghiti RJ, DeMatteo RP, Chapman WC, Büchler MW, Hann LE, D’Angleca M, eds. Surgery of liver, biliary tract, and pancreas, 4th edn. Philadelphia: Saunders Elsevier 2007;952-70.
• 2. Sayek I, Yalın R, Sanaç Y. Surgical treatment of hydatid desease of liver. Arch Surg 1980; 115:847-50.
• 3. Barnes SA, Lillemoe KD. Liver abscess and hydatid cyst disease. In: Zinner MJ, Schwartz SI, Ellis H, editors. Maingot’s Abdominal Operations. 10th ed. Stamford (CT): Appleton& Lange 1997;1513-45.
• 4. Filice C, Brunetti E. Use of PAİR in human cystic echinococcosis. Acta Trop 1997;64:94-107.
• 5. Sayek I, Onat D. Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg 2001;25:21-7. 6. Derici H, Tansug T, Reyhan E, et al. Acute intraperitoneal rupture of hidatid cyst. World J Surg 2006;30:1879-83.
• 7. Ray S, Das K. Spontaneous intraperitoneal rupture of hepatic hydatid cyst with biliary peritonitis: a case report. Cases Journal 2009;2:6511.
• 8. Placer C, Martin R, Sanchez E, et al. Rupture of abdominal hydatid cyst. Br J Surg 1998;75:157-161.
• 9. Gunay K, Taviloğlu K, Berber E, et al. Travmatic rupture of hydatid cysts: a 12-year experience from an endemic region. J Travma 1999;46:164-7.
• 10. Kurt N, Oncel M, Gülmez S, et al. Spontaneous and traumatic intra-peritoneal perforations of hepatic hydatid cysts: a case series J Gastrointest Surg 2003;7:635-41.
• 11. Sözüer EM, Ok E, Arslan. M The perforation problem in hydatid disease. Am J Trop Med Hyg 2002;66:575-7. 12. Yuksel M, Kır A, Ercan S, et al. Correlation between sizes and intracystic pressure of hydatid cysts. Eur J Cardiothorac Surg 1997;12:903-6.
• 13. Dirican A, Yilmaz M, Unal B, et al. Ruptured hydatid cysts into the peritoneum: a case series. Eur J Trauma Emerg Surg 2010;36:375-9.
• 14. Dziri C, Haouet K, Fingerhut A .Treatment of hydatid cyst of the liver:where is the evidence? World J Surg 2004; 28:731-6.
• 15. Beyrouti MI, Beyrouti R, Abbes I, et al. Acute rupture of hydatid cyst in the peritoneum: 17 cases. Press Med 2004;33:378-4.