Introduction: Hydatidosis is endemic in the Mediterranean region including morrocco, the Middle and Far East,
Australia, New Zealand, and South America—all areas where animal husbandry is common. 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: Fourteen patients received surgical treatment for intraperitoneal rupture of the cysts over a period of 5 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: Eight of the patients were men and six were women. All of the patients had signs of peritoneal irritation. One
patient (7,14%) had a history of blunt abdominal trauma. Ultrasonography scans revealed intra-abdominal fluid in all
cases, intraperitoneal multiple cysts in 11 cases and heterogeneous cavity or cystic structures in the liver in 12 cases.
Computed tomography showed multiple cystic lesions in the liver and peritoneum with intra-abdominal free fluid. The
ruptured cysts were located in the right lobe of the liver in seven patients, in the left lobe in six patients and in both
lobes in one patients. Procedures to fill the cystic cavities were applied after removal of the intraperitoneal fluid. Partial
pericystectomy and drainage was the most frequent surgical procedure. No patients died in the early postoperative
period. A total of seven morbidities developed in six patients (35.3%). Median hospital stay was 08 days and median
follow-up was 12 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. The operative
procedures, either radical or conservative, should be based on the patient’s condition, the regional characteristics, and
the surgeon’s experience. The morbidity and mortality rates of surgical interventions for ruptured hydatid cysts are
higher than the rates for elective uncomplicated cases
| Référence | 2878 |
| Année | 2013 |
| Type | Article |
| Lien document | |
| Lien externe | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3725171/ |
| Disciplines associées | Chirurgie viscérale B |
| Auteur | Mouaqit O |
| Auteurs associés | Abdelaziz Hibatallah, Oussaden A, Maazaz k, Ait taleb K |
| Discipline | Chirurgie viscérale A |
| Revue | World Journal of Emergency Surgery |
| Référence Revue | 0,352777778 |
