The rupture of a hydatid cyst into the abdominal cavity is a rare and serious complication.
In this retrospective study, we evaluated ten patients who were surgically treated for ruptured hydatid cysts into the peritoneum
at a university hospital in an endemic area between 2003 and 2008.
There were three female and seven male patients, with a mean age of 34.2 years (range 20–79). Ruptured cysts were located
in the liver (7), pelvis (2), and spleen (1). Eight patients had other nonperforated hydatid cysts. Perforations were spontaneous
in seven patients and traumatic in three. Patients’ diagnoses were done with abdominal ultrasound (3), computed tomography
(6), and laparotomy (1). The surgical treatment of perforated cysts were radical (pericystectomy) in one patient and conservative
(partial pericystectomy) in the other nine patients. There was postoperative morbidity (surgical site infection) in one patient
and one postoperative recurrence of disease in another patient. Mortality was seen in one patient 2 months after operation
due to pulmonary hydatid cyst and infection.
The rupture of hydatid cysts into the peritoneal cavity should be included in the differential diagnosis of acute abdominal
pain in endemic areas. Perforation in a young patient may be the first presentation of hydatid cyst. Multiple hydatid cysts
may be a predisposing factor for perforation. Location of the cyst on segment VI of the liver may be a predisposing factor
as well. Emergency surgery is the main treatment for intraperitoneal rupture of hydatid cysts and medical treatment should
be given postoperatively.
Hydatid cyst-Rupture-Peritoneum-Acute abdomen
European Journal of Trauma and Emergency Surgery 04/2012; 36(4):375-379. · 0.33 Impact Factor
ABSTRACT: When compared with open splenectomy, laparoscopic splenectomy was associated with fewer complications, however, with more hemorrhagic complications. Furthermore, the mean operative time for laparoscopy was significantly longer than for the open procedure. Vessel sealing systems are represented as decreasing operative time and blood loss in several surgical procedures. The aim of this study is to evaluate the blood loss and operating time of laparoscopic splenectomy with a vessel sealing system. We evaluated 19 laparoscopic splenectomies with a vessel sealing device, particularly focusing on operative blood loss and operating time. Patients were operated in the right lateral decubitus position usually with three ports. In all cases, dissection of the spleen and sealing of hilar vessels and short gastric vessels were performed with a vessel sealing system. No clips, sutures, or monopolar-bipolar diathermy were used. Mean operative blood loss was 88 ml (range 20-400 ml) and mean operative time was 107 minutes (range 45-230 minutes). Both results were better than those of most series of laparoscopic splenectomy performed with endostaplers or endoclips. Laparoscopic splenectomy with a vessel sealing system is safe for all vascular controls in laparoscopic splenectomy and can lead to less blood loss. This technique removes the disadvantage of longer operating times for laparoscopic as compared to open splenectomy.
Minimally invasive therapy & allied technologies: MITAT: official journal of the Society for Minimally Invasive Therapy 11/2008; 17(5):308-12. · 1.33 Impact Factor
ANZ Journal of Surgery 08/2007; 77(7):601-2. · 1.25 Impact Factor