Is Calcified Hydatid Cyst Absolutely Dead?

Yıl 2010, Cilt: 27 Sayı: 3, 87 - 90, 09.02.2011

Kenan Erzurumlu , Cafer Polat , Kadir Dicle Erol Kılıç Bülent Güngör , Murat Hökelek

Öz

How and when does a hydatid cyst die in humans? There is an ongoing debate in medicine about this subject. Calcification of the hydatid cyst wall is believed to indicate the death of the cyst. However, rarely, the cyst may be alive even though the wall is calcified. With this report, we presented a patient with a hydatid cyst with calcified wall. Patient was followed up for 8 years after the diagnosis and sufficient and effective treatment was not given thinking that the hydatid cyst was dead and intrabiliary rupture occurred after the follow-up. Criteria for the viability of hydatid cyst are discussed and the literature is reviewed.

Anahtar Kelimeler

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Kaynakça

• Biava, M.F., Dao, A., Fortier, B., 2001. Laboratory diagnosis of cystic hydatic disease.World J. Surg. 25,10-14.
• Czermak, B.V., Akhan, O., Hiemetzberger, R., Zelger, B., Vogel, W., Jaschke, W., Rieger, M., Kim, S.Y., Lim, J.H., 2008. Echinococcosis of the liver. Abdom. Imaging. 33,133-143.
• Erzurumlu, K., Ozdemir, M., Mihmanli, M., Cevikbaş, U., 1995. The effect of intraoperative mebendazole-albendazole applications on the hepatobiliary system. Eur. Surg. Res. 27, 340-345.
• Erzurumlu, K., Dervisoglu, A., Polat, C., Senyurek, G., Yetim, I., Hokelek, M., 2005. Intrabiliary rupture: (An algorithm in the treatment of controversial complication of hepatic hydatidosis) World J. Gastroenterol. 11, 2472-2476.
• Filippou, D., Tselepis, D., Filippou, G., Papadopoulos, V., 2007. Advances in liver echinococcosis: diagnosis and treatment. Clin. Gastroenterol. Hepatol. 5, 152-159.
• Gil-Grande, L.A., Rodriguez-Caabeiro, F., Prieto, G., Sanchez-Ruano, J.J., Brasa, C., Aguilar, L., Garcia-Hoz, F., Casado, N., Barcena, R., Alvarez, A.I. 1993. Randomised controlled trial of efficacy of albendazole in intraabdominal hydatid disease. Lancet. 342, 1269-1272.
• Hosch, W., Stojkovic, M., Jänisch, T., Kauffmann, G.W., Junghanss, T. 2007. The role of calcification for staging cystic echinococcosis (CE). Eur. Radiol. 17, 2538-2545
• Sayek, I. 2004. Kist hidatik hastalığı: Klinik yönleri. In “Echinococcosis” Ed. Altıntaş, N., Tınar, R., Çoker, A. Hidatidoloji Derneği yayın No: 1, İzmir pp.141-147.
• Turgut, A.T., Altin, L., Topçu, S., Kiliçoğlu, B., Aliinok, T., Kaptanoğlu, E., Karademir, A., Koşar, U. 2007. Unusual imaging characteristics of complicated hydatid disease. Eur. J. Radiol. 63, 84-93.