Management of cysto-biliary communication in hydatid cyst of liver

Introduction: Biliary communication of hepatic hydatosis is one of the important complications. It may be minor or major communication. Minor communication is usually diagnosed during operation by the presence of bile stained hydatid fluid on aspiration or bile leak during surgery. However, in majo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autor principal:	A Bhattarai
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Cystobiliary communication Cholangitis Hydatid cyst Surgery RD1-811
Acceso en línea:	https://doaj.org/article/a1d2b47e8de641c6afc61553a2819ac8
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a1d2b47e8de641c6afc61553a2819ac8
record_format	dspace
spelling	oai:doaj.org-article:a1d2b47e8de641c6afc61553a2819ac82021-12-05T19:16:47ZManagement of cysto-biliary communication in hydatid cyst of liver10.3126/jssn.v17i1.151781815-39842392-4772https://doaj.org/article/a1d2b47e8de641c6afc61553a2819ac82016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15178https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Biliary communication of hepatic hydatosis is one of the important complications. It may be minor or major communication. Minor communication is usually diagnosed during operation by the presence of bile stained hydatid fluid on aspiration or bile leak during surgery. However, in major communication, patients present with obstructive jaundice, abdominal pain and cholangitis. Surgical management of major communication is difficult and is associated with high morbidity and mortality. Methods: This is a retrospective study at Tribhuvan University Teaching Hospital, Kathmandu, Nepal over a period of two year (April 15th 2012 to April 15th 2014) and analyzed the medical records of 30 patients admitted and treated for hydatid cyst of liver in surgical ward during that period. Demography, clinical features, management and outcome were analyzed. Results: Of 30 patients with hepatic hydatid cyst operated over a period of two years, thirteen patients had cystobiliary communication. Amongst them, five minor communications were diagnosed during operation and managed with suture plication and omentopexy. Out of the eight major communications, seven were diagnosed preoperatively and all had cholangitis, and one had hydatid cyst of gallbladder and was diagnosed intraoperatively. Among six cases of major communication, five cases required CBD exploration and bile duct reconstruction while partial cholecystectomy was done for hydatid cyst of gall bladder and one case was managed by ERCP sphincterotomy, evacuation of cyst content and stenting. one case was managed with pigtail drain as the patient had infected hydatid cyst and not fit for surgery. Conclusion: Cystobiliary communication is a common complication of hydatid cyst of liver. Therapeutic options are related to size and location of the cyst and size of communication. Journal of Society of Surgeons of Nepal Vol.17(1) 2014: 31-34 A BhattaraiSociety of Surgeons of NepalarticleCystobiliary communicationCholangitisHydatid cystSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 17, Iss 1 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cystobiliary communication Cholangitis Hydatid cyst Surgery RD1-811
spellingShingle	Cystobiliary communication Cholangitis Hydatid cyst Surgery RD1-811 A Bhattarai Management of cysto-biliary communication in hydatid cyst of liver
description	Introduction: Biliary communication of hepatic hydatosis is one of the important complications. It may be minor or major communication. Minor communication is usually diagnosed during operation by the presence of bile stained hydatid fluid on aspiration or bile leak during surgery. However, in major communication, patients present with obstructive jaundice, abdominal pain and cholangitis. Surgical management of major communication is difficult and is associated with high morbidity and mortality. Methods: This is a retrospective study at Tribhuvan University Teaching Hospital, Kathmandu, Nepal over a period of two year (April 15th 2012 to April 15th 2014) and analyzed the medical records of 30 patients admitted and treated for hydatid cyst of liver in surgical ward during that period. Demography, clinical features, management and outcome were analyzed. Results: Of 30 patients with hepatic hydatid cyst operated over a period of two years, thirteen patients had cystobiliary communication. Amongst them, five minor communications were diagnosed during operation and managed with suture plication and omentopexy. Out of the eight major communications, seven were diagnosed preoperatively and all had cholangitis, and one had hydatid cyst of gallbladder and was diagnosed intraoperatively. Among six cases of major communication, five cases required CBD exploration and bile duct reconstruction while partial cholecystectomy was done for hydatid cyst of gall bladder and one case was managed by ERCP sphincterotomy, evacuation of cyst content and stenting. one case was managed with pigtail drain as the patient had infected hydatid cyst and not fit for surgery. Conclusion: Cystobiliary communication is a common complication of hydatid cyst of liver. Therapeutic options are related to size and location of the cyst and size of communication. Journal of Society of Surgeons of Nepal Vol.17(1) 2014: 31-34
format	article
author	A Bhattarai
author_facet	A Bhattarai
author_sort	A Bhattarai
title	Management of cysto-biliary communication in hydatid cyst of liver
title_short	Management of cysto-biliary communication in hydatid cyst of liver
title_full	Management of cysto-biliary communication in hydatid cyst of liver
title_fullStr	Management of cysto-biliary communication in hydatid cyst of liver
title_full_unstemmed	Management of cysto-biliary communication in hydatid cyst of liver
title_sort	management of cysto-biliary communication in hydatid cyst of liver
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/a1d2b47e8de641c6afc61553a2819ac8
work_keys_str_mv	AT abhattarai managementofcystobiliarycommunicationinhydatidcystofliver
_version_	1718371082586554368

Management of cysto-biliary communication in hydatid cyst of liver

Ejemplares similares