Sönmez Kaan, Karabulut Ramazan, Türkyilmaz Zafer, Basaklar A Can, Kale Nuri
Department of Pediatric Surgery, Gazi University Medical Faculty, Besevler, Ankara, Turkey.
Adv Ther. 2007 Mar-Apr;24(2):291-5. doi: 10.1007/BF02849896.
Hydatid cysts (HCs) of the liver are a major problem in the areas to which they are endemic. Approximately 15% of hepatic cysts have been shown to communicate with the biliary system. In 2 cases in which patients were undergoing HC surgery, the cystic fluid appeared to be clear, but after the germinative membranes were removed, a connection with the biliary system could be seen. This observation suggests that the decision to inject a scolicidal or sclerosing agent during surgery should be evaluated carefully, as should the use of percutaneous HC treatment. Otherwise, conditions associated with serious morbidity, such as sclerosing cholangitis, may occur.
肝包虫囊肿（HCs）在其流行地区是一个主要问题。约15%的肝囊肿已被证明与胆道系统相通。在2例接受HC手术的患者中，囊液看起来清澈，但在去除生发膜后，可以看到与胆道系统的连接。这一观察结果表明，手术期间注射杀头节剂或硬化剂的决定应仔细评估，经皮HC治疗的使用也应如此。否则，可能会发生与严重发病率相关的情况，如硬化性胆管炎。
