Diagnosis and management against the complications
of human cystic echinococcosis
Diagnosis and management against the complications
of human cystic echinococcosis
Hao WEN,Tuerganaili AJI,Ying-Mei SHAO,
Hepatobiliary & Hydatid
Department, Digestive and Vascular Surgery Center, First Affiliated
Hospital of Xinjiang Medical University, Urumqi 830000, China;
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.
. Diagnosis and management against the complications
of human cystic echinococcosis[J]. Front. Med., 2010, 4(4): 394-398.
Hao WEN, Tuerganaili AJI, Ying-Mei SHAO, . Diagnosis and management against the complications
of human cystic echinococcosis. Front. Med., 2010, 4(4): 394-398.
McManus D P, Zhang W, Li J, Bartley P B. Echinococcosis. Lancet, 2003, 362(9392): 1295–1304 14575976
Vicente E, Meneu J C, Hervás P L, Nu?o J, Quijano Y, Devesa M, Moreno A, Blazquez L. Management of biliary duct confluence injuries produced by hepatichydatidosis. World J Surg, 2001, 25(10): 1264–1269 11596887
Erzurumlu K, Dervisoglu A, Polat C, Senyurek G, Yetim I, Hokelek M. Intrabiliary rupture: an algorithm inthe treatment of controversial complication of hepatic hydatidosis. World J Gastroenterol, 2005, 11(16): 2472–2476 PMID: 15832420
Ta?yildiz I, Aldemir M, Aban N, Keles C. Diagnosis and surgical treatment of intrabiliary rupturedhydatid disease of the liver. S Afr J Surg, 2004, 42(2): 43–46 PMID: 15253319
Prousalidis J, Kosmidis C, Kapoutzis K, Fachantidis E, Harlaftis N, Aletras H. Intrabiliary rupture of hydatidcysts of the liver. Am J Surg, 2009, 197(2): 193–198 18558386
Bedirli A, Sakrak O, Sozuer E M, Kerek M, Ince O. Surgical management of spontaneousintrabiliary rupture of hydatid liver cysts. Surg Today, 2002, 32(7): 594–597 12111515
Yildirgan M I, Ba?o?lu 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 PMID: 14743572
Daradkeh S, El-Muhtaseb H, Farah G, Sroujieh A S, Abu-Khalaf M. Predictors of morbidity and mortality in the surgical managementof hydatid cyst of the liver. Langenbecks Arch Surg, 2007, 392(1): 35–39 17021792
EI Malki H O, El Mejdoubi Y, Souadka A, Mohsine R, Ifrine L, Abouqal R, Belkouchi A. Predictive factors of deep abdominal complications after operationfor hydatid cyst of the liver: 15 years of experience with 672 patients. J Am Coll Surg, 2008, 206(4): 629–637 18387467
Zaouche A, Haouet K, Jouini M, El Hachaichi A, Dziri C, Management of liver hydatidcysts with a large biliocystic fistula: multicenter retrospectivestudy. World J Surg, 2001, 25(1): 28–39 PMID: doi: 10.1007/s002680020005 11213153 doi: 10.1007/s002680020005
Lewall D B, McCorkell S J. Rupture of echinococcal cysts: diagnosis, classification, and clinicalimplications. AJR Am J Roentgenol, 1986, 146(2): 391–394 PMID: 3510519
Tsitouridis J, Kouklakis G, Tsitouridis K, Melidis D, Krokos N, Emmanoyilidoy M. Intrabiliary obstructiondue to ruptured hepatic hydatid cyst: evaluation with computed tomographyand magnetic resonance imaging. Dig Endosc, 2001, 13(1): 7–12 doi: 10.1046/j.1443-1661.2001.00079.x
Working Group W, 0. International classification of ultrasound imagesin cystic echinococcosis for application in clinical and field epidemiologicalsettings. Acta Trop, 2003, 85(2): 253–261 12606104
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)
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 PMID: 10835129
Goumas K, Poulou A, Dandakis D, Tyrmpas I, Georgouli A, Sgourakis G, Soutos D, Karaliotas K. Role of endoscopic interventionin biliary complications of hepatic hydatid cyst disease. Scand J Gastroenterol, 2007, 42(9): 1113–1119 17710679
Cicek B, Parlak E, Disibeyaz S, Oguz D, Cengiz C, Sahin B. Endoscopic therapy of hepatic hydatid cyst disease inpreoperative and postoperative settings. Dig Dis Sci, 2007, 52(4): 931–935 17333353
Bilsel Y, Bulut T, Yamaner S, Buyukuncu Y, Bugra D, Akyuz A, Sokucu N. ERCP in thediagnosis and management of complications after surgery for hepaticechinococcosis. Gastrointest Endosc, 2003, 57(2): 210–213 12556786
Asye E, Necati O, Suat F, Ilhan E, Sumru T, Yasemin G. Intrabiliary rupture of hepatic hydatid cysts: diagnosticaccuracy of MR cholangiopancreatography. AJR, 2007, 189(2): w84―w89 doi: 10.2214/AJR.07.2068
Xu M Q. Diagnosis and management of hepatic hydatidosis complicatedwith biliary fistula. Chin Med J (Engl), 1992, 105(1): 69–72 PMID: 1576874
Bedirli A, Sakrak O, Sozuer E M, Kerek M, Ince O. Surgical management of spontaneousintrabiliary rupture of hydatid liver cysts. Surg Today, 2002, 32(7): 594–597 12111515
Dervisoglu A, Erzurumlu K, Ta? K, Arslan A, Gürsel M, H?kelek M. Should intraoperative ultrasonographybe used routinely in hepatic hydatidosis? Hepatogastroenterology, 2002, 49(47): 1326–1328 PMID: 12239936
Ozmen M M, Coskun F. New technique for finding the ruptured bile duct into the liver cysts: scope inthe cave technique. Surg Laparosc EndoscPercutan Tech, 2002, 12(3): 187–189 12080262
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 andproper management. Arch Surg, 2001, 136(11): 1249–1255 11695968
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 19350321
Smego R A Jr, Sebanego P. Treatment options for hepatic cystic echinococcosis. Int J Infect Dis, 2005, 9(2): 69–76 15708321
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)
Kapan M, Kapan S, Goksoy E, Perek S, Kol E. Postoperative recurrence in hepatic hydatid disease. J Gastrointest Surg, 2006, 10(5): 734–739 16713547
