Zargar S A, Khuroo M S, Khan B A, Dar M Y, Alai M S, Koul P
Department of Gastroenterology, Institute of Medical Sciences, Srinagar Kashmir, India.
Gastrointest Radiol. 1992 Winter;17(1):41-5. doi: 10.1007/BF01888506.
Sonographic and cholangiographic appearances of confirmed intrabiliary rupture of a hepatic hydatid cyst were studied in 15 cases. Sonographic findings included liver cyst in all cases; nonshadowing echogenic structures in the dilated biliary tree representing hydatid material, such as fragmented membranes, sand, matrix, and daughter vesicles, in eight cases; and loss of continuity of the cyst wall adjacent to the bile duct representing the site of communication in seven cases. Cholangiographic findings were as follows: filling defects of varying size and shapes in the dilated biliary tree in 13 cases, and changing shape and position of these filling defects in three of them; and leakage of contrast medium into the cyst cavity in 12 cases. Intrabiliary rupture of hepatic hydatid cyst was suggested by sonography in 10 cases (66.7%) and at cholangiography in 13 cases (86.6%). We conclude that a joint application of sonography and endoscopic cholangiography is mandatory for proper preoperative evaluation of this disorder.
对15例确诊的肝包虫囊肿胆道内破裂的超声和胆管造影表现进行了研究。超声表现包括所有病例均有肝囊肿；8例扩张胆管内有无声影的回声结构，代表包虫物质，如破碎的膜、沙、基质和子囊；7例囊肿壁与胆管相邻处连续性中断，代表相通部位。胆管造影表现如下：13例扩张胆管内有大小和形状各异的充盈缺损，其中3例充盈缺损形状和位置改变；12例造影剂漏入囊肿腔。超声检查提示肝包虫囊肿胆道内破裂10例（66.7%），胆管造影提示13例（86.6%）。我们得出结论，超声和内镜胆管造影联合应用对于该疾病的术前正确评估是必不可少的。
