Skip to main content
SpringerLink
Log in

Diagnosis and management against the complications of human cystic echinococcosis

  • Review
  • Published:
Frontiers of Medicine in China Aims and scope Submit manuscript

Abstract

Cystic echinococcosis (CE) (hydatidosis, hydatid disease) is a zoonosis caused by the larval stage of Echinococcus granulosus, typically affecting the liver. Hepatic cystic echinococcosis (HCE) is often asymptomatic, and symptoms occur largely when complications develop. Up to one-third of HCE can be shown their complications such as rupture of the cyst, secondary infection, and anaphylactic reaction. Clinically, patients present with pain, obstructive jaundice, cholangitis, anaphylactic reaction, and shock. Early diagnosis and treatment of complications of CE must be very important, since mortality is high when obstruction of the biliary ducts occurs, leading to ascending cholangitis and septicemia, anaphylactic shock, or even life-threatening conditions.

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

Similar content being viewed by others

References

  1. McManus D P, Zhang W, Li J, Bartley P B. Echinococcosis. Lancet, 2003, 362(9392): 1295–1304

    Article  PubMed  Google Scholar 

  2. Vicente E, Meneu J C, Hervás P L, Nuño J, Quijano Y, Devesa M, Moreno A, Blazquez L. Management of biliary duct confluence injuries produced by hepatic hydatidosis. World J Surg, 2001, 25(10): 1264–1269

    Article  CAS  PubMed  Google Scholar 

  3. Erzurumlu K, Dervisoglu A, Polat C, Senyurek G, Yetim I, Hokelek M. Intrabiliary rupture: an algorithm in the treatment of controversial complication of hepatic hydatidosis. World J Gastroenterol, 2005, 11(16): 2472–2476

    PubMed  Google Scholar 

  4. Taçyildiz I, Aldemir M, Aban N, Keles C. Diagnosis and surgical treatment of intrabiliary ruptured hydatid disease of the liver. S Afr J Surg, 2004, 42(2): 43–46

    PubMed  Google Scholar 

  5. Prousalidis J, Kosmidis C, Kapoutzis K, Fachantidis E, Harlaftis N, Aletras H. Intrabiliary rupture of hydatid cysts of the liver. Am J Surg, 2009, 197(2): 193–198

    Article  PubMed  Google Scholar 

  6. Bedirli A, Sakrak O, Sozuer E M, Kerek M, Ince O. Surgical management of spontaneous intrabiliary rupture of hydatid liver cysts. Surg Today, 2002, 32(7): 594–597

    Article  PubMed  Google Scholar 

  7. Yildirgan M I, Başoǧlu M, Atamanalp S S, Aydinli B, Balik A A, Celebi F, Oren D. Intrabiliary rupture in liver hydatid cysts: results of 20 years’ experience. Acta Chir Belg, 2003, 103(6): 621–625

    CAS  PubMed  Google Scholar 

  8. Daradkeh S, El-Muhtaseb H, Farah G, Sroujieh A S, Abu-Khalaf M. Predictors of morbidity and mortality in the surgical management of hydatid cyst of the liver. Langenbecks Arch Surg, 2007, 392(1): 35–39

    Article  PubMed  Google Scholar 

  9. EI Malki H O, El Mejdoubi Y, Souadka A, Mohsine R, Ifrine L, Abouqal R, Belkouchi A. Predictive factors of deep abdominal complications after operation for hydatid cyst of the liver: 15 years of experience with 672 patients. J Am Coll Surg, 2008, 206(4): 629–637

    Article  PubMed  Google Scholar 

  10. Zaouche A, Haouet K, Jouini M, El Hachaichi A, Dziri C, Management of liver hydatid cysts with a large biliocystic fistula: multicenter retrospective study. World J Surg, 2001, 25(1): 28–39

    Article  CAS  PubMed  Google Scholar 

  11. Lewall D B, McCorkell S J. Rupture of echinococcal cysts: diagnosis, classification, and clinical implications. AJR Am J Roentgenol, 1986, 146(2): 391–394

    CAS  PubMed  Google Scholar 

  12. Tsitouridis J, Kouklakis G, Tsitouridis K, Melidis D, Krokos N, Emmanoyilidoy M. Intrabiliary obstruction due to ruptured hepatic hydatid cyst: evaluation with computed tomography and magnetic resonance imaging. Dig Endosc, 2001, 13(1): 7–12

    Article  Google Scholar 

  13. Working Group W, 0. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop, 2003, 85(2): 253–261

    Article  Google Scholar 

  14. Tuerganaili AJ, Shao YM, Zhao JM, Li HT, Wen H. Diagnosis and treatment of intrabiliary rupture of hepatic cystic echinococcosis. Zhong Hua Gan Dan Wai Ke Za Zhi, 2007, 13(6):381–384 (in Chinese)

    Google Scholar 

  15. Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa C S. Hydatid disease: radiologic and pathologic features and complications. Radiographics, 2000, 20(3): 795–817

    CAS  PubMed  Google Scholar 

  16. Goumas K, Poulou A, Dandakis D, Tyrmpas I, Georgouli A, Sgourakis G, Soutos D, Karaliotas K. Role of endoscopic intervention in biliary complications of hepatic hydatid cyst disease. Scand J Gastroenterol, 2007, 42(9): 1113–1119

    Article  PubMed  Google Scholar 

  17. Cicek B, Parlak E, Disibeyaz S, Oguz D, Cengiz C, Sahin B. Endoscopic therapy of hepatic hydatid cyst disease in preoperative and postoperative settings. Dig Dis Sci, 2007, 52(4): 931–935

    Article  PubMed  Google Scholar 

  18. Bilsel Y, Bulut T, Yamaner S, Buyukuncu Y, Bugra D, Akyuz A, Sokucu N. ERCP in the diagnosis and management of complications after surgery for hepatic echinococcosis. Gastrointest Endosc, 2003, 57(2): 210–213

    Article  PubMed  Google Scholar 

  19. Asye E, Necati O, Suat F, Ilhan E, Sumru T, Yasemin G. Intrabiliary rupture of hepatic hydatid cysts: diagnostic accuracy of MR cholangiopancreatography. AJR, 2007, 189(2): w84–w89

    Article  Google Scholar 

  20. Xu M Q. Diagnosis and management of hepatic hydatidosis complicated with biliary fistula. Chin Med J (Engl), 1992, 105(1): 69–72

    CAS  Google Scholar 

  21. Bedirli A, Sakrak O, Sozuer E M, Kerek M, Ince O. Surgical management of spontaneous intrabiliary rupture of hydatid liver cysts. Surg Today, 2002, 32(7): 594–597

    Article  PubMed  Google Scholar 

  22. Dervisoglu A, Erzurumlu K, Taç K, Arslan A, Gürsel M, Hökelek M. Should intraoperative ultrasonography be used routinely in hepatic hydatidosis? Hepatogastroenterology, 2002, 49(47): 1326–1328

    PubMed  Google Scholar 

  23. Ozmen MM, Coskun F. New technique for finding the ruptured bile duct into the liver cysts: scope in the cave technique. Surg Laparosc Endosc Percutan Tech, 2002, 12(3): 187–189

    Article  PubMed  Google Scholar 

  24. Atli M, Kama N A, Yuksek Y N, Doganay M, Gozalan U, Kologlu M, Daglar G. Intrabiliary rupture of a hepatic hydatid cyst: associated clinical factors and proper management. Arch Surg, 2001, 136(11): 1249–1255

    Article  CAS  PubMed  Google Scholar 

  25. Dziri C, Haouet K, Fingerhut A, Zaouche A. Management of cystic echinococcosis complications and dissemination: where is the evidence? World J Surg, 2009, 33(6): 1266–1273

    Article  PubMed  Google Scholar 

  26. Smego R A Jr, Sebanego P. Treatment options for hepatic cystic echinococcosis. Int J Infect Dis, 2005, 9(2): 69–76

    Article  PubMed  Google Scholar 

  27. Wen H, Shao Y M, Zhao J M, Tuerganaili A J, Li H T. Clinical analysis of surgical treatment for human hepatic cystic and alveolar echinococcosis. Zhong Hua Xiao Hua Wai Ke Za Zhi, 2007, 6(1): 13–18 (in Chinese)

    Google Scholar 

  28. Kapan M, Kapan S, Goksoy E, Perek S, Kol E. Postoperative recurrence in hepatic hydatid disease. J Gastrointest Surg, 2006, 10(5): 734–739

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hepatobiliary & Hydatid Department, Digestive and Vascular Surgery Center, First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830000, China

    Hao Wen, Tuerganaili Aji & Ying-Mei Shao

Authors
  1. Hao Wen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tuerganaili Aji
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ying-Mei Shao
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hao Wen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wen, H., Aji, T. & Shao, YM. Diagnosis and management against the complications of human cystic echinococcosis. Front. Med. China 4, 394–398 (2010). https://doi.org/10.1007/s11684-010-0180-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11684-010-0180-9

Keywords

Search

Navigation