Background: To analyze the diagnosis and the surgical treatment of intrabiliary ruptured hydatid disease of the liver. Methods: Between 1990 and 1995, 263 patients with hydatid cysts of the liver underwent surgery in a university hospital. Twenty-five (9.43%) patients with intrabiliary rupture of hepatic hydatid cyst were retrospectively reviewed. Results: Diagnosis was principally made using ultrasonography and computed tomography scanning and was confirmed by the findings of other tests. In 12 patients (48%) partial cystectomy with primary closure; 5 patients (20%) partial cystectomy with drainage; 5 patients (20%) cystotomy with drainage; 3 patients (12%) left hepatic resection (atypic, segmentary or lobar) was performed. Omentoplasty was performed in 6 patients. The common bile duct was explored in all patients and it was drained by a T-tube in 22 patients, and by a choledochoduodenostomy in 3 others. The average postoperative hospitalization time was 8.3 and 22.5 days in patients treated with choledochoduodenostomy and T-tube drainage respectively. Cholecystectomy was performed in 18 patients. Complications were seen in 4 patients (16%) with 1 pleural effusion and 3 wound infections. There was only 1 death (4%) due to duodenal peptic ulcus perforation with intrabiliary ruptured hydatid cyst. Conclusion: This study indicates that T-tube drainage and choledochoduodenostomy in intrabiliary ruptured hydatid cysts are effective procedures with low morbidity and mortality rates.

Pissiotis CA, Wander JV, Condon RE: Surgical treatment of hydatid disease: Prevention of complications and recurrences. Arch Surg 1972;104:454–459.
Papadimitriou J, Mandrekas A: The surgical treatment of hydatid disease of the liver. Br J Surg 1970;57:431–433.
Elhamel A, Murthy BS: Hepatic hydatid disease in Libya. Br J Surg 1986;73:125–127.
Langer B: Surgical treatment of hydatid disease of liver. Br J Surg 1987;74:237–238.
Morel P, Robert J, Rohner A: Surgical treatment of hydatid disease of the liver: A survey of 69 patients. Surgery 1988;104:859–862.
Murty TVM, Sood KC, Rakas FS: Biliary obstruction due to ruptured hydatid cyst. J Pediatr Surg 1989;24:401–403.
Vignote ML, Mino G, de la Mata M, de Dios JF, Gomez F: Endoscopic sphincterotomy in hepatic hydatid disease open to the biliary tree. Br J Surg 1990;77:30–31.
Dadoukis J, Gamvros O, Aletras H: Intrabiliary rupture of the hydatid cyst of the liver. World J Surg 1984;8:786–790.
Barros JL: Hydatid disease of the liver. Am J Surg 1978;135:597–600.
Ergüney S, Tortum O, Taspınar AH, Ertem M, Gazioğlu E: Les kystes hydatiques compliqués du foie. Am Chir 1991;45:584–589.
Ulualp K, Aydemir I, Senturk H, Eyuboğlu E, Cebeci H, Unal G, Unal H: Management of intrabiliary rupture of hydatid cyst of the liver. World J Surg 1995;19:720–724.
Lygidakis NJ: Diagnosis and treatment of intrabiliary rupture of hydatid cyst of the liver. Arch Surg 1983;118:1186–1189.
Dawson JL, Stamatakis JD, Stringer MD, Williams R: Surgical treatment of hepatic hydatid disease. Br J Surg 1988;75:946–950.
Alper A, Arıogul O, Emre A, Uras A, Okten A: Choledochoduodenostomy for intrabiliary rupture of hydatid cyst of the liver. Br J Surg 1987;74:243–245.
Kattan YB: Intrabiliary rupture of hydatid cyst of the liver. Br J Surg 1975;62:885–890.
Vagianus CE, Karavias DD, Kakkos SK, Vagenas CA, Androulakis JA: Conservative surgery in the treatment of hepatic hydatidosis. Eur J Surg 1995;161:415–420.
Hankins JR: Management of complicated hepatic hydatid cysts. Ann Surg 1963;158:1020–1034.
Elhamel A: Pericystectomy for the treatment of hepatic hydatid cysts. Surgery 1990;107:316–320.
Arıogul O, Emre A, Alper A, Uras A: Introflexion as a method of surgical treatment for hydatid disease. Surg Gynecol Obstet 1989;169:356–358.
Aydemir I, Paksoy M, Ozcelik F, Mulayim M, Cebeci H: Karaciğer hidatik kistinin cerrahi tedavisi (in Turkish). Cagdas Cerrahi Dergisi 1996;10:32–36.
Belli L, Favero ED, Marni A, Romani F: Resection versus pericystectomy in the treatment of hydatidosis of the liver. Am J Surg 1983;145:239–242.
Sayek I, Yalın R, Sanaç Y: Surgical treatment of hydatid disease of the liver. Arch Surg 1980;115:847–850.
Yalın R, Oguz M, Yıldırır C, Dulger M: Surgical treatment of hepatic hydatid cysts. Med Principles Pract 1989;1:154–159.
Moreno VF, Lopez EV: Acute cholangitis caused by ruptured hydatid cyst (letter). Surgery 1985;97:249.
Ovnat A, Peiser J, Avinoah E, Barki Y, Charuzi I: Acute cholangitis caused by ruptured hydatid cyst. Surgery 1984;95:497–500.
Wanniyake HM, Brough W, Bullock N, Calne RY, Farman JV: Hypernatremia after treatment of hydatid. Br Med J 1982;284:1302–1303.
Belghiti J, Benhamou J, Houry S, Grenier P, Huguier M, Fekete F: Caustic sclerosing cholangitis. Arch Surg 1986;121:1162–1165.
Teres J, Moli JG, Bruguera M, Visa J, Bordas JM, Pera C: Sclerosing cholangitis after surgical treatment of hepatic echinococcal cysts. Am J Surg 1984;148:694–697.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.