Abstract
This case series analysis aims to present the clinical, operative, and follow-up results of 17 patients who were operated on for an intraperitoneal rupture in two tertiary care centers in the same region. In this study, patients who underwent emergency surgery due to ruptured liver hydatid cysts in the intraperitoneal space between January 2016 and December 2020 at two tertiary centers were retrospectively analyzed. Of the 17 patients, 14 were women (82.4%) and 3 (17.6%) were man, and the mean age was 35.9 SD15.1 (min: 17, max: 69) years. Seven (41.2%) patients had a single cyst, and 10 patients (58.8%) had two or more cysts. The time from the onset of symptoms to admission to the hospital was 16.9 SD16.1 (4–72) hours. Average operation time was 80 SD63.43 min. Complications developed in three patients in the postoperative period. These were atelectasis, ileus, and stricture in the common bile ducts. The mean hospitalization period of the patients was 8.0 SD2.78 (4–15) days. The follow-up period was 44 (IQR; 23–91) months, and recurrence occurred in 3 (17.6%) patients. The timing of medical and surgical treatment is an important factor in the morbidity and mortality of patients. Close follow-up and timely intervention are of vital importance in reducing the risk of rupture in patients who are followed up on for hydatid cysts.
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Mouaqit O, Hibatallah A, Oussaden A, Maazaz K, Khalid AT (2013) Acute intraperitoneal rupture of hydatid cysts: a surgical experience with 14 cases. World J Emerg Surg 8:28
Akcan A, Akyildiz H, Artis T, Ozturk A, Deneme MA, Engin O, Sozuer E (2007) Peritoneal perforation of liver hydatid cysts: clinical presentation, predisposing factors, and surgical outcome. World J Sur 31:1284–1291
Barnes SA, Lillemoe KD (1997) Liver abscess and hydatid cyst disease. In: Zinner MJ, Schwartz SI, Ellis H (eds) Maingot’s abdominal operations, 10th edn. Appleton & Lange, Stamford, pp 1513–1545
Sayek I, Onat D (2001) Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg 25:21–27
Bozdag AD, Derici H, Peker Y et al (2000) Surgical treatment of hydatid cysts of the liver. Insizyon Cerrahi Tıp Bilimleri Dergisi 3:216–219
Aday U, Kapan M, Onder A et al (2011) Liver hydatid cyst associated with biliary tract: is it an important complication indicator? J Curr Surg 1:25–32
Akbulut S (2018) Parietal complication of the hydatid disease: comprehensive literature review. Medicine (Baltimore) 97:e10671
Belli S, Akbulut S, Erbay G, Koçer NE (2014) Spontaneous giant splenic hydatic cyst rupture causing fatal anaphlactic shock: a case report and brief literature review. Turk J Gastroenterol 25:88–91
Dinc T, Kayilioglu SI, Akturk OM, Coskun F (2016) Surgical management of liver hydatid cyst related non-traumatic emergencies: single center experience. Iran J Parasitol 11(4):574–579
Toumi O, Noomen F, Salem R, Rabeh H, Jabra SB, Korbi I et al (2017) Intraperitoneal rupture of hydatid cysts. Eur J Trauma Emerg Surg 43:387–391
Shaikh AS, Tandur AE, Pathrabe YS, Patil DS, Bhandarwar AH, Shaikh NA (2021) Laparoscopic management in hydatid disease of liver: a series of 35 cases. Int Surg J 8(4):1134–1142
Tinsley B, Abbara A, Kadaba R, Sheth H, Sandhu G (2013) Spontaneous intraperitoneal rupture of a hepatic hydatid cyst with subsequent anaphylaxis: a case report. Case Reports Hepatol 2013:320418
Akbulut S, Ozdemir F (2019) Intraperitoneal rupture of the hydatid cyst: four case reports and literature review. World J Hepatol 11:318–329
Akkapulu N, Aytac HO, Arer IM, Kus M, Yabanoglu H (2018) Incidence and risk factors of biliary fistulation from a hepatic hydatid cyst in clinically asymptomatic patients. Trop Doct 48:20–24
Kayaalp C (2012) Intraoperative diagnosis of cystobiliary communications of hydatid liver cysts. Clinics (Sao Paulo) 67:515
Koç C, Akbulut S, Şahin TT, Tuncer A, Yılmaz S (2020) Intraperitoneal rupture of the hydatid cyst disease. Turk Trauma Emerg Surg 26(5):789–797. https://doi.org/10.14744/tjtes.2020.32223
Botezatu C, Mastalier B, Patrascu T (2018) Hepatic hydatid cyst - diagnose and treatment algorithm [published correction appears in J Med Life. 2018 Oct-Dec;11(4):394]. J Med Life 11(3):203–209. https://doi.org/10.25122/jml-2018-0045
Sozuer E, Akyuz M, Akbulut S (2014) Open surgery for hepatic hydatid disease. Int Surg 99:764–769
Georgiou GK, Lianos GD, Lazaros A et al (2015) Surgical management of hydatid liver disease. Int J Surg 20:118–122. https://doi.org/10.1016/j.ijsu.2015.06.058
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Taş, I., Aday, U., Yiğit, Y.D. et al. Analysis of Rare Spontaneous Intraperitoneal Hydatic Cyst Rupture: a Multicentric Experience. Indian J Surg 83 (Suppl 4), 922–926 (2021). https://doi.org/10.1007/s12262-021-03268-1
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DOI: https://doi.org/10.1007/s12262-021-03268-1