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Postoperative Complications and Recurrence of Abdominal Echinococcosis Rupture: Case Series with Follow-up

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Abstract

Intraperitoneal rupture is an uncommon presentation of abdominal echinococcosis. It is a life-threatening complication, and at this time, there are no clear guidelines available for its management. The aim of this study was to describe postoperative complications and recurrence in patients with abdominal echinococcal cyst ruptured (AECR), who were surgically treated. Case series of patients with AECR undergoing emergency surgery, with a minimum follow-up of 24 months is presented. Patients were treated between 2008 and 2019. The outcome variables were postoperative complications and recurrence. Other variables of interest were surgical time, hospital stay, and mortality. Descriptive statistics was used. Fifteen patients (53.3% men), with a mean age of 40 years, underwent emergency surgery. Median diameter of hepatic cyst, surgical time, and length of stay of 16 cm, 180 min, and 9.5 days respectively. Postoperative complications occurred in 26.7% (seroma, atelectasis, and renal failure). With a median follow-up of 87 months, a recurrence of 26.7% was verified. A high percentage of postoperative complications and recurrence was verified in patients with AECR with secondary ascites treated surgically.

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Abbreviations

AE:

Abdominal echinococcosis

POC:

Postoperative complication

CT:

Computed tomography

MRI:

Magnetic resonance imaging

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Authors and Affiliations

  1. Center for Morphological and Surgical Studies (CEMyQ), Universidad de La Frontera, Temuco, Chile

    Carlos Manterola

  2. Clínica RedSalud Mayor, Temuco, Chile

    Carlos Manterola

  3. Hospital Obrero No. 1, Caja Nacional de Salud, La Paz, Bolivia

    Nataniel Claros

  4. Universidad Mayor de San Andrés, La Paz, Bolivia

    Nataniel Claros

  5. Department of Surgery, Hospital Universitari del Mar, Barcelona, Spain

    Luis Grande

  6. Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain

    Luis Grande

Authors
  1. Carlos Manterola
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  2. Nataniel Claros
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  3. Luis Grande
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Correspondence to Carlos Manterola.

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Manterola, C., Claros, N. & Grande, L. Postoperative Complications and Recurrence of Abdominal Echinococcosis Rupture: Case Series with Follow-up. Indian J Surg 85, 771–777 (2023). https://doi.org/10.1007/s12262-022-03562-6

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  • DOI: https://doi.org/10.1007/s12262-022-03562-6

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