Skip to main content
Erschienen in: European Journal of Trauma and Emergency Surgery 3/2017

23.03.2016 | Original Article

Intraperitoneal rupture of hydatid cysts

verfasst von: O. Toumi, F. Noomen, R. Salem, H. Rabeh, S. B. Jabra, I. Korbi, S. Bannani, M. Nasr, K. Zouari, G. Mondher, A. Hamdi

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 3/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Hydatid cyst rupture into abdominal cavity is a rare but a serious complication. The rupture can occur after a trauma, or spontaneously as a result of increased intracystic pressure. It is a surgical emergency with high morbidity and mortality rates. Early diagnosis and appropriate surgical management of this complication can be life saving. The objective of the current paper is to evaluate the clinical, and radiographic findings and surgical treatment of this complication.

Methods

A retrospective study on 12 patients operated in our department for intraperitoneal rupture of hydatid cyst between January 1990 and May 2015. We reviewed age, gender, imaging findings, surgical treatment procedures, mortality, morbidity and recurrence.

Results

Our study includes 12 cases of intraperitoneal rupture of hydatid cysts; eight of the patients were men, and four were women. Four patients had a history of abdominal trauma and the other ruptures occurred spontaneously. All the patients had peritoneal irritation signs at presentation. All them underwent ultrasonography and CT scan. Imaging showed intraabdominal free fluid in all of cases. In 11 cases the cyst was unique and only in one case an associated mesenteric hydatid cyst was noted. Ruptured cysts were located in the right lobe of the liver in nine cases, in the left lobe in the other three cases. All the patients underwent emergency surgery after imaging. The procedure applied was conservative associated with drainage in all the cases. Some associated procedures were performed during the same operation. In only one case total pericystectomy for intraperitoneal cyst was performed. There were no post operative deaths. A total of five morbidities developed in three patients (one case of evisceration, three cases of biliary fistula and a case of pulmonary infection).

Conclusions

Hydatid cyst rupture in peritoneal cavity is a rare complication. Imaging assessment has an important role in diagnosis but clinical signs are mandatory. A quick diagnosis and emergency surgery can decrease postoperative death. Surgery and postoperative care constitute the basis of treatment.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
2.
Zurück zum Zitat Sakhri J, Ben Ali A. Hydatid cyst of the liver. J Chir. 2004;141(6):381–9.CrossRef Sakhri J, Ben Ali A. Hydatid cyst of the liver. J Chir. 2004;141(6):381–9.CrossRef
3.
Zurück zum Zitat Beyrouti MI, Beyrouti R, Abbes I, Kharrat M, Ben Amar M, Frikha F, et al. Acute rupture of hydatid cysts in the peritoneum: 17 cases. Presse Med. 2004;33(6):378–84.CrossRefPubMed Beyrouti MI, Beyrouti R, Abbes I, Kharrat M, Ben Amar M, Frikha F, et al. Acute rupture of hydatid cysts in the peritoneum: 17 cases. Presse Med. 2004;33(6):378–84.CrossRefPubMed
4.
Zurück zum Zitat Derici H, Tansug T, Reyhan E, Bozdag AD, Nazli O. Acute intraperitoneal rupture of hydatid cysts. World J Surg. 2006;30(10):1879–83 (discussion 1884–5).CrossRefPubMed Derici H, Tansug T, Reyhan E, Bozdag AD, Nazli O. Acute intraperitoneal rupture of hydatid cysts. World J Surg. 2006;30(10):1879–83 (discussion 1884–5).CrossRefPubMed
5.
Zurück zum Zitat Arikanoglu Z, Taskesen F, Aliosmanoglu I, Gul M, Cetincakmak MG, Onder A, et al. Spontaneous intraperitoneal rupture of a hepatic hydatid cyst. Int Surg. 2012;97(3):245–8.CrossRefPubMedPubMedCentral Arikanoglu Z, Taskesen F, Aliosmanoglu I, Gul M, Cetincakmak MG, Onder A, et al. Spontaneous intraperitoneal rupture of a hepatic hydatid cyst. Int Surg. 2012;97(3):245–8.CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Gulalp B, Koseoglu Z, Toprak N, Satar S, Sebe A, Gokel Y, et al. Ruptured hydatid cyst following minimal trauma and few signs on presentation. Neth J Med. 2007;65(3):117–8.PubMed Gulalp B, Koseoglu Z, Toprak N, Satar S, Sebe A, Gokel Y, et al. Ruptured hydatid cyst following minimal trauma and few signs on presentation. Neth J Med. 2007;65(3):117–8.PubMed
7.
Zurück zum Zitat Sozuer EM, Ok E, Arslan M. The perforation problem in hydatid disease. Am J Trop Med Hyg. 2002;66(5):575–7.CrossRefPubMed Sozuer EM, Ok E, Arslan M. The perforation problem in hydatid disease. Am J Trop Med Hyg. 2002;66(5):575–7.CrossRefPubMed
8.
Zurück zum Zitat Yuksel M, Kir A, Ercan S, Batirel HF, Baysungur V. Correlation between sizes and intracystic pressures of hydatid cysts. Eur J Cardiothorac Surg. 1997;12(6):903–6.CrossRefPubMed Yuksel M, Kir A, Ercan S, Batirel HF, Baysungur V. Correlation between sizes and intracystic pressures of hydatid cysts. Eur J Cardiothorac Surg. 1997;12(6):903–6.CrossRefPubMed
9.
Zurück zum Zitat Patel SS, Butt AA. Inadvertent rupture of an echinococcal cyst: case report and review of literature. Am J Med Sci. 2004;327(5):268–71.CrossRefPubMed Patel SS, Butt AA. Inadvertent rupture of an echinococcal cyst: case report and review of literature. Am J Med Sci. 2004;327(5):268–71.CrossRefPubMed
10.
Zurück zum Zitat Tinsley B, Abbara A. Spontaneous intraperitoneal rupture of a hepatic hydatid cyst with subsequent anaphylaxis: a case report. Case Reports Hepatol. 2013;2013:320418.CrossRefPubMedPubMedCentral Tinsley B, Abbara A. Spontaneous intraperitoneal rupture of a hepatic hydatid cyst with subsequent anaphylaxis: a case report. Case Reports Hepatol. 2013;2013:320418.CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Gunay K, Taviloglu K, Berber E, Ertekin C. Traumatic rupture of hydatid cysts: a 12-year experience from an endemic region. J Trauma. 1999;46(1):164–7.CrossRefPubMed Gunay K, Taviloglu K, Berber E, Ertekin C. Traumatic rupture of hydatid cysts: a 12-year experience from an endemic region. J Trauma. 1999;46(1):164–7.CrossRefPubMed
12.
Zurück zum Zitat Kurt N, Oncel M, Gulmez S, Ozkan Z, Uzun H. Spontaneous and traumatic intra-peritoneal perforations of hepatic hydatid cysts: a case series. J Gastrointest Surg. 2003;7(5):635–41.CrossRefPubMed Kurt N, Oncel M, Gulmez S, Ozkan Z, Uzun H. Spontaneous and traumatic intra-peritoneal perforations of hepatic hydatid cysts: a case series. J Gastrointest Surg. 2003;7(5):635–41.CrossRefPubMed
13.
Zurück zum Zitat Ozturk G, Aydinli B, Yildirgan MI, Basoglu M, Atamanalp SS, Polat KY, et al. Posttraumatic free intraperitoneal rupture of liver cystic echinococcosis: a case series and review of literature. Am J Surg. 2007;194(3):313–6.CrossRefPubMed Ozturk G, Aydinli B, Yildirgan MI, Basoglu M, Atamanalp SS, Polat KY, et al. Posttraumatic free intraperitoneal rupture of liver cystic echinococcosis: a case series and review of literature. Am J Surg. 2007;194(3):313–6.CrossRefPubMed
14.
15.
Zurück zum Zitat Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg. 2004;28(8):731–6.CrossRefPubMed Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg. 2004;28(8):731–6.CrossRefPubMed
16.
Zurück zum Zitat Bouassida M, Sassi S, Mighri MM, et al. Les complications pariétales du kyste hydatique du foie. Bull Soc Patho Exot. 2012;105:259–61.CrossRef Bouassida M, Sassi S, Mighri MM, et al. Les complications pariétales du kyste hydatique du foie. Bull Soc Patho Exot. 2012;105:259–61.CrossRef
17.
Zurück zum Zitat Jarrar MS, Ben Hadj Khalifa MH, Toumi R, Ghrissi R, Elghali MA, et al. Upper digestive stenosis due to a hydatid cyst of the liver. Tunis Med. 2015;93(3):129–30.PubMed Jarrar MS, Ben Hadj Khalifa MH, Toumi R, Ghrissi R, Elghali MA, et al. Upper digestive stenosis due to a hydatid cyst of the liver. Tunis Med. 2015;93(3):129–30.PubMed
18.
Zurück zum Zitat Gomez i Gavara C, López-Andújar R, Belda Ibáñez T, Ramia Ángel JM, Moya Herraiz A, Orbis Castellanos F, Pareja Ibars E, San Juan Rodríguez F. Review of the treatment of liver hydatid cysts. World J Gastroenterol. 2015;21(1):124–31.CrossRefPubMedPubMedCentral Gomez i Gavara C, López-Andújar R, Belda Ibáñez T, Ramia Ángel JM, Moya Herraiz A, Orbis Castellanos F, Pareja Ibars E, San Juan Rodríguez F. Review of the treatment of liver hydatid cysts. World J Gastroenterol. 2015;21(1):124–31.CrossRefPubMedPubMedCentral
Metadaten
Titel
Intraperitoneal rupture of hydatid cysts
verfasst von
O. Toumi
F. Noomen
R. Salem
H. Rabeh
S. B. Jabra
I. Korbi
S. Bannani
M. Nasr
K. Zouari
G. Mondher
A. Hamdi
Publikationsdatum
23.03.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Trauma and Emergency Surgery / Ausgabe 3/2017
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-016-0662-9

Weitere Artikel der Ausgabe 3/2017

European Journal of Trauma and Emergency Surgery 3/2017 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.