Τίτλος:
Endoscopic management of a relapsing hepatic hydatid cyst with
intrabiliary rupture: A case report and review of the literature
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Hydatid disease, although endemic mostly in sheep -farm ing countries,
remains a public health issue worldwide, involving mainly the liver.
Intrabiliary rupture is the most frequent complication of the hepatic
hydatid cyst. Endoscopy is advocated, preoperatively, to alleviate
obstructive jaundice caused by intracystic materials after a frank
rupture and is also a useful and well-established adjunct in locating
postoperative biliary fistulas.
Endoscopic retrograde cholangiography with sphincterotomy has been
Successful as the sole and definitive means of treatment of intrabiliary
ruptured hydatid cysts. A case of an elderly woman with frank rupture is
presented, where the rupture was definitively managed endoscopically in
conjunction with sphincterotomy to remove the intrabiliary obstructive
daughter cysts and to achieve decontamination of the biliary tree.
Endoscopic retrograde cholangiography provided an excellent diagnostic
and therapeutic modality in the present case and, thus, it Should be
considered as definitive treatment in similar cases especially if
Surgical risk is anticipated to be high.
Συγγραφείς:
Manouras, Andreas
Genetzakis, Michael
Antonakis, Pantelis T. and
Lagoudianakis, Emmanuel
Pattas, Michael
Papadima, Artemisia and
Giannopoulos, Panagiotis
Menenakos, Evangelos
Περιοδικό:
Canadian Journal of Gastroenterology and Hepatology
Λέξεις-κλειδιά:
endoscopic treatment; hydatid disease; intrabiliary rupture
