Skip to main content

Advertisement

SpringerLink
Log in

Acute Intraperitoneal Rupture of Hydatid Cysts

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Background

Rupture into the abdominal cavity is a rare but serious complication of hydatid disease. The cysts may be ruptured after a trauma, or spontaneously as a result of increased intracystic pressure. Rupture of the hydatid cyst requires emergency surgical intervention.

Methods

Seventeen patients received surgical treatment for intraperitoneal rupture of the cysts over a period of 18 years. Age, gender, time to surgery from the onset of the symptoms, laboratory findings, diagnostic procedures, surgical treatment modalities, in-hospital stay, morbidity, mortality and recurrence were evaluated retrospectively.

Results

Five cases (29.4%) had a history of blunt abdominal trauma. Ultrasonography scans revealed intra-abdominal fluid in all cases. Intraperitoneal multiple cysts with heterogeneous cavity or cystic structures in the liver were shown in 14 cases. Computed tomography and magnetic resonance imaging showed multiple cystic lesions in the liver and peritoneum with intra-abdominal free fluid. Procedures to fill the cystic cavities were applied after removal of the intraperitoneal fluid. Four patients (23.5%) died in the early postoperative period. A total of nine morbidities developed in six patients (35.3%). Median hospital stay was 18 days and median follow-up was 78 months. Intra-abdominal recurrence occurred in one case (7.7%).

Conclusions

Rupture of hydatid cysts into the peritoneal cavity, although rare, presents a challenge for surgeons. This pathology should be included in the differential diagnosis of acute abdomen in endemic areas. Computed tomography scan, in addition to clinical presentation, is essential for diagnosis. Emergency surgery is the main treatment for acute ruptured hydatid cysts. The morbidity and mortality rates of surgical interventions for ruptured hydatid cysts are higher than the rates for elective uncomplicated cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1.
Figure 2.

Similar content being viewed by others

References

  1. Karavias DD, Vagianos CE, Kakkos SK, et al. Peritoneal echinococcosis. World J Surg 1996;20:337–340

    Article  PubMed  CAS  Google Scholar 

  2. Sayek I, Onat D. Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg 2001;25:21–27

    Article  PubMed  CAS  Google Scholar 

  3. Bozdag AD, Derici H, Peker Y, et al. Surgical treatment of hydatid cysts of the liver. Insizyon Cerrahi Tıp Bilimleri Dergisi, 2000;3:216–219

    Google Scholar 

  4. Barnes SA, Lillemoe KD. Liver abscess and hydatid cyst disease. In Zinner MJ, Schwartz SI, Ellis H, editors, Maingot’s Abdominal Operations, 10th ed, Stamford, CT, Appleton & Lange, 1997:1513–1545

    Google Scholar 

  5. Altintas N. Past to present: echinococcosis in Turkey. Acta Trop 2003;85:105–112

    Article  PubMed  Google Scholar 

  6. Gunay K, Taviloglu K, Berber E, et al. Traumatic rupture of hydatid cysts: a 12-year experience from an endemic region. J Trauma 1999;46:164–167

    Article  PubMed  CAS  Google Scholar 

  7. Lewall DB, McCorkell SJ. Rupture of echinoccoccal cysts: diagnosis, classification, and clinical implications. AJR Am J Roentgenol 1986;146:391–394

    PubMed  CAS  Google Scholar 

  8. Placer C, Martin R, Sanches E, et al. Rupture of abdominal hydatid cysts. Br J Surg 1988;75:157–161

    PubMed  CAS  Google Scholar 

  9. Beyrouti MI, Beyrouti R, Abbes I, et al. Acute rupture of hydatid cysts in the peritoneum: 17 cases. Presse Med 2004;33:378–384

    PubMed  Google Scholar 

  10. Di Cataldo A, Lanteri R, Caniglia S, et al. A rare complication of the hepatic hydatid cyst: intraperitoneal perforation without anaphylaxis. Int Surg 2005;90:42–44

    PubMed  Google Scholar 

  11. Kurt N, Oncel M, Gulmez S, et al. Spontaneous and traumatic intra-peritoneal perforations of hepatic hydatid cysts: a case series. J Gastrointest Surg 2003;7:635–641

    Article  PubMed  Google Scholar 

  12. Velitchkov NG, Losanoff JE, Kjossev KT, et al. Life-threatening traumatic rupture of a liver hydatid cyst. Eur J Emerg Med 2001;8:225–228

    Article  PubMed  CAS  Google Scholar 

  13. Sozuer EM, Ok E, Arslan M. The perforation problem in hydatid disease. Am J Trop Med Hyg 2002;66:575–577

    PubMed  Google Scholar 

  14. Pedrosa I, Saiz A, Arrazola J, et al. Hydatid disease: radiologic and pathologic features and complications. Radiographics 2000;20:795–817

    PubMed  CAS  Google Scholar 

  15. Paraskevopoulos JA, Baer H, Dennison AR. Liver hydatid disease audit of surgical management. Int J Surg Sci 1998;5:21–24

    Google Scholar 

  16. Garcia JIL, Alonso E, Gonzales-Uriarte J, et al. Evaluation of scolicidal agents in an experimental hydatid disease model. Eur Surg Res 1997;29:202–208

    Google Scholar 

  17. Gokce O, Gokce C, Yilmaz M, et al. Povidone-iodine in experimental peritoneal hydatidosis. Br J Surg 1991;78:495–496

    PubMed  CAS  Google Scholar 

  18. Ariogul O, Emre A, Alper A, et al. Introflexion as a method of surgical treatment for hydatid disease. Surg Gynecol Obstet 1989;169:356–358

    PubMed  CAS  Google Scholar 

  19. Prousalidis J, Tzardinoglou K, Sgouradis L, et al. Uncommon sites of hydatid disease. World J Surg 1998;22:17–22

    Article  PubMed  CAS  Google Scholar 

  20. Saglam A. Laparoscopic treatment of liver hydatid cysts. Surg Laparosc Endosc 1996;6:16–21

    Article  PubMed  CAS  Google Scholar 

  21. Katkhouda N, Hurwitz M, Gugenheim J, et al. Laparoscopic management of benign solid and cystic lesions of the liver. Ann Surg 1999;229:460–466

    Article  PubMed  CAS  Google Scholar 

  22. Kaymak E, Tansug T, Denecli AG, et al. Postoperative recurrence of hydatid disease of the liver and prophylaxis with mebendazole. Arch Hidatidosis 1991;30:1221–1225

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Third Surgical Clinic of Atatürk Training and Research Hospital, Izmir, Turkey

    Hayrullah Derici MD, Tugrul Tansug MD, Enver Reyhan MD, Ali Dogan Bozdag MD & Okay Nazli MD

  2. 156 sok. No: 5/13 Bornova, Izmir, Turkey

    Hayrullah Derici MD

Authors
  1. Hayrullah Derici MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tugrul Tansug MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Enver Reyhan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ali Dogan Bozdag MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Okay Nazli MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hayrullah Derici MD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Derici, H., Tansug, T., Reyhan, E. et al. Acute Intraperitoneal Rupture of Hydatid Cysts. World J. Surg. 30, 1879–1883 (2006). https://doi.org/10.1007/s00268-005-0699-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00268-005-0699-0

Keywords

Search

Navigation