A Serious Complication of Liver Hydatid Cyst: Intra-abdominal Rupture [Kafkas J Med Sci]
Kafkas J Med Sci. 2022; 12(3): 265-269 | DOI: 10.5505/kjms.2022.42103  

A Serious Complication of Liver Hydatid Cyst: Intra-abdominal Rupture

Tolga Kalaycı1, Serkan Tayar2
1Agri Ibrahim Çeçen University Faculty of Medicine, Department of General Surgery, Agri
2Medical Park Trabzon Karadeniz Hospital, Department of General Surgery, Trabzon, Türkiye

Intra-abdominal rupture is a severe and rare complication of a hydatid cyst. This case report is aimed to present the diagnosis and treatment algorithm for spontaneous intra-abdominal rupture of liver hydatid cyst. A 46-year-old lady was followed up in the gastroenterology service with a cholangitis diagnosis. Endoscopic retrograde cholangiopancreatography (ERCP) was applied to the patient. The patient’s abdominal pain and vital signs worsened on the first day after ERCP. After the patient was hemodynamically stabilized, intravenous contrast-enhanced computed tomography (CT) was performed. On CT, there was a 130 mm diameter air-containing hydatid cyst in the liver dome accompanied by intraperitoneal free air. Liver hydatid cyst perforation was considered in the patient, and the patient was taken for an emergency laparotomy. Cystotomy and unroofing were performed with cholecystectomy. Control thorax CT was performed on the patient due to low saturation (90% under nasal oxygen support) on the sixth day of followup. Due to pleural effusion in the right hemithorax on the CT scan, thoracentesis was performed on the patient, and 500 cc of seropurulent fluid was aspirated. On the 14th postoperative day, the patient was discharged without any problem and was prescribed 10 mg/kg/day of albendazole. No pathology was detected on the control CT in the first-month follow-up.

Keywords: albendazole, anaphylactic reaction, echinococcosis, spontaneous rupture


Karaciğer Hidatik Kistinin Ciddi Bir Komplikasyonu: Karın İçi Rüptür

Tolga Kalaycı1, Serkan Tayar2
1Ağrı İbrahim Çeçen Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Ağrı
2Medical Park Trabzon Karadeniz Hastanesi, Genel Cerrahi Kliniği, Trabzon, Türkiye

Karın içi rüptür hidatik kistin ciddi ve nadir bir komplikasyonudur. Bu vaka raporunun amacı, karaciğer hidatik kist spontan intraabdominal rüptürünün tanı ve tedavi algoritmasını sunmaktır. Kırk altı yaşında bayan hasta kolanjit tanısı ile gastroenteroloji servisinde takibe alındı. Hastaya endoskopik retrograd kolanjiyopankreatografi (ERCP) uygulandı. Endoskopik retrograd kolanjiyopankreatografi sonrası 1. günde hastanın karın ağrısı ve vital bulguları kötüleşti. Hasta hemodinamik olarak stabilize edildikten sonra intravenöz kontrastlı bilgisayarlı tomografi (BT) çekildi. Bilgisayarlı tomografide karaciğer kubbesinde intraperitoneal serbest havanın eşlik ettiği 130 mm çapında hava içerikli hidatik kist mevcuttu. Hastada karaciğer hidatik kist perforasyonu düşünüldü ve hasta acil laparotomiye alındı. Kolesistektomi ile kistotomi ve unroofing yapıldı. Hastaya takibin 6. gününde satürasyonun düşük olması (%90 nazal oksijen desteği altında) nedeniyle kontrol toraks BT çekildi. Bilgisayarlı tomografide sağ hemitoraksta plevral efüzyon nedeniyle hastaya torasentez yapıldı ve 500 cc seropürülan sıvı aspire edildi. Postoperatif 14. günde hasta komplikasyonsuz taburcu edildi ve 10 mg/kg/gün albendazol tedavisi verildi. Birinci ay takibinde kontrol BT’de patoloji saptanmadı.

Anahtar Kelimeler: albendazol, anafilaktik reaksiyon, ekinokokkoz, spontan rüptür


Tolga Kalaycı, Serkan Tayar. A Serious Complication of Liver Hydatid Cyst: Intra-abdominal Rupture. Kafkas J Med Sci. 2022; 12(3): 265-269

Corresponding Author: Tolga Kalaycı, Türkiye


TOOLS
Full Text PDF
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar


 

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License..


Kafkas University Faculty of Medicine Dean of Kafkas Medical Sciences Journal Editor
Kars, Turkey    

Telephone: +90 474 225 18 04                                     Fax: +90 474 225 11 96

e-mail: edit.tipdergi@gmail.com

Go To Top