Alhan E, Calik A, Küçüktülü U, Cìinel A
Department of Surgery, Faculty of Medicine, Karadeniz Technical University, Trabzon-Turkey.
Nihon Geka Hokan. 1994 Jan 1;63(1):3-9.
The intrabiliary rupture of hydatid cyst of the liver is a severe and relatively frequent complication. In this study six similar cases are presented. 4 of the cases had hydatid cyst surgery before the admission. The obstructive jaundice, cholangitis and unclosed bile fistula are the most frequent clinical findings. Ultrasound is very useful for the diagnosis. In the cases of space occupying lesions of the liver with wide choledochus (1.1 cm >) the intrabiliary rupture of hydatid cyst can be suspected by ultrasonographic examinations. Surgical therapy as the capitonnage combined with the resection of the projecting dome of the cyst and T tube application remains a method which gives good results and has low mortality and morbidity.
肝包虫囊肿胆管内破裂是一种严重且相对常见的并发症。本研究报告了6例类似病例。其中4例在入院前已接受过包虫囊肿手术。梗阻性黄疸、胆管炎和未闭合的胆瘘是最常见的临床表现。超声检查对诊断非常有用。对于肝内有占位性病变且胆总管较宽（>1.1 cm）的病例，超声检查可怀疑肝包虫囊肿胆管内破裂。手术治疗采用内翻缝合联合囊肿突出部穹顶切除及放置T管，仍是一种效果良好、死亡率和发病率较低的方法。
