Analysis of Rare Spontaneous Intraperitoneal Hydatic Cyst Rupture: a Multicentric Experience

This case series analysis aims to present the clinical, operative, and follow-up results of 17 patients who were operated on for an intraperitoneal rupture in two tertiary care centers in the same region. In this study, patients who underwent emergency surgery due to ruptured liver hydatid cysts in the intraperitoneal space between January 2016 and December 2020 at two tertiary centers were retrospectively analyzed. Of the 17 patients, 14 were women (82.4%) and 3 (17.6%) were man, and the mean age was 35.9 SD15.1 (min: 17, max: 69) years. Seven (41.2%) patients had a single cyst, and 10 patients (58.8%) had two or more cysts. The time from the onset of symptoms to admission to the hospital was 16.9 SD16.1 (4–72) hours. Average operation time was 80 SD63.43 min. Complications developed in three patients in the postoperative period. These were atelectasis, ileus, and stricture in the common bile ducts. The mean hospitalization period of the patients was 8.0 SD2.78 (4–15) days. The follow-up period was 44 (IQR; 23–91) months, and recurrence occurred in 3 (17.6%) patients. The timing of medical and surgical treatment is an important factor in the morbidity and mortality of patients. Close follow-up and timely intervention are of vital importance in reducing the risk of rupture in patients who are followed up on for hydatid cysts.