Abstract
Abstract
Human cystic echinococcosis is a zoonosis transmitted by ingesting Ecchinococcus granulosus ova eliminated from infected dogs. A 41-year-old man was admitted to the hospital with symptoms of abdominal tenderness located in the epigastric region, fever and vomiting. .We diagnosed a recurrent hydatic disaese and after admission to our hospital he began to cough with greenyellowish colored sputum with abscess. Posteroanterior chest X-ray and right pleural US revealed no fluid collection but right lower lung atelectasis and diaphragma elevation. With these results we performed an operation for broncho-biliary fistula. He was discharged from the hospital on the ninth postoperative day. Careful assessment and early treatment of septic complications are essential in the successful treatment of this rare condition.
Keywords: Bronchobiliary fistula, Echinococcosis
Özet
Ekinokoka bağlı kist hidatik hastalığı enfekte olmuş köpeklerin dışkısından alınan echinocococcus granulosus yumurtasının sindirilmesi ile geçer. 41 yaşında bir erkek hasta epigastrik bölgede olan hassasiyet, ateş ve kusma ile hastanemize kabul edildi. Yapılan tetkikler sonucunda nüks kist hidatik absesi teşhisi konularak yatırılan hasta tedavi altında iken abse içeriği olan sarı-yeşil renkte balgamlı öksürmeye başladı. PA akciğer grafisinde ve sağ plevral US’de sıvı saptanmadı ve sağ akciğer alt lob atelektazisi ve diyafram elevasyonu tespit edildi. Bu bulgularla bronkobiliyer fistül tanısıyla hasta ameliyata alındı. Postoperatif dokuzuncu günde hasta taburcu edildi. Bu nadir görülen durumun başarılı tedavisi için septik komplikasyonların dikkatli değerlendirme ve erken tedavisi önem arz etmektedir.
Anahtar sözcükler: Bronkobiliyer fistül, ekinokokkozis
Keywords
References
- Johnson MM, Chin R Jr, Haponik EF. Thoracobiliary fistula. S Med J 1996; 89: 335-9.
- Senturk H, Mert A, Ersavasti G, Tabak F, Akdogan M, Ulualp K. Bronchobiliary fistula due to alveolar hydatid disease: report of three cases. Am J Gastroenterol 1998; 93: 2248-53.
- Yacoubian HD. Thoracic problems associated with hydatid cysts of the dome. Surgery 1976; 79: 544-8.
- Kilani T, Daoues A, Horchani H, Sellami M. Place of thoracotomy in thoracic complications of hydatid cysts of the liver. Ann Chir 1991; 45: 705-10.
- Gómez R, Moreno E, Loinaz C, De la Calle A, Castellon C, Manzanera M, Herrera V, Garcia A, Hidalgo M. Diaphragmatic or transdiaphragmatic thoracic involvement in hepatic hydatid disease: surgical trends and classification. World J Surg 1995; 19: 714-9.
- Borrie J, Shaw JH. Hepatobronchial fistula caused by hydatid disease. The Dunedin experience 1952-79. Thorax 1981; 36: 25-8.
- Warren KW, Christophi C, Armendariz R, Basu S. Surgical treatment of bronchobiliary fistulas. Surg Gynecol Obstet 1983; 157: 351-6.
- Bretland PM. Biliary-bronchial fistula due to old hydatid cyst demonstrated with Tc-HIDA. Br J Radiol 1983; 56: 757-9.
- D’Altorio RA, McAllister JD, Sestric GB, Cichon PJ. Hepatopulmonary fistula: treatment with biliary metallic endoprosthesis. Am J Gastroenterol 1992; 87: 784- 6.
- Sharma BC, Agarwal N, Garg S, Kumar R, Sarin SK. Endoscopic management of liver abscesses and cysts that communicate with intrahepatic bile ducts. Endoscopy 2006; 38: 249-53.
- Athanassiadi K, Kalavrouziotis G, Loutsidis A, Bellenis I, Exarchos N. Surgical treatment of echinococcosis by a transthoracic approach: a review of 85 cases. Eur J Cardiothorac Surg 1998; 14: 134-140.
- Freixinet JL, Mestres CA, Cugat E, Mateu M, Gimferrer JM, Catalán M, Callejas MA, Letang E, Sánchez-Lloret J. Hepaticothoracic transdiaphragmatic echinococcosis. Ann Thorac Surg 1988; 45: 426-9.
- Tocchi A, Mazzoni G, Miccini M, Drumo A, Cassini D, Colace L, Tagliacozzo S. Treatment of hydatid bronchobiliary fistulas: 30 years of experience. Liver Int 2007; 27: 209-14.
- Xanthakis DS, Katsaras E, Efthimiadis M, Papadakis G, Varouchakis G, Aligizakis C. Hydatid cyst of the liver with intrathoracic rupture. Thorax 1981; 36: 497-501.
- Sakhri J, Ben Ali A, Letaief R, Derbel F, Dahmen Y, Ben Hadj Hmida R. Hydatic cysts of the liver ruptured into the thorax. Diagnostic and therapeutic aspects. J Chir 1996; 133: 437-41.
Abstract
Ekinokoka bağlı kist hidatik hastalığı enfekte olmuş köpeklerin dışkısından alınan echinocococcus granulosus yumurtasının sindirilmesi ile geçer. 41 yaşında bir erkek hasta epigastrik bölgede olan hassasiyet, ateş ve kusma ile hastanemize kabul edildi. Yapılan tetkikler sonucunda nüks kist hidatik absesi teşhisi konularak yatırılan hasta tedavi altında iken abse içeriği olan sarı-yeşil renkte balgamlı öksürmeye başladı. PA akciğer grafisinde ve sağ plevral US’de sıvı saptanmadı ve sağ akciğer alt lob atelektazisi ve diyafram elevasyonu tespit edildi. Bu bulgularla bronkobiliyer fistül tanısıyla hasta ameliyata alındı. Postoperatif dokuzuncu günde hasta taburcu edildi. Bu nadir görülen durumun başarılı tedavisi için septik komplikasyonların dikkatli değerlendirme ve erken tedavisi önem arz etmektedir
Keywords
References
- Johnson MM, Chin R Jr, Haponik EF. Thoracobiliary fistula. S Med J 1996; 89: 335-9.
- Senturk H, Mert A, Ersavasti G, Tabak F, Akdogan M, Ulualp K. Bronchobiliary fistula due to alveolar hydatid disease: report of three cases. Am J Gastroenterol 1998; 93: 2248-53.
- Yacoubian HD. Thoracic problems associated with hydatid cysts of the dome. Surgery 1976; 79: 544-8.
- Kilani T, Daoues A, Horchani H, Sellami M. Place of thoracotomy in thoracic complications of hydatid cysts of the liver. Ann Chir 1991; 45: 705-10.
- Gómez R, Moreno E, Loinaz C, De la Calle A, Castellon C, Manzanera M, Herrera V, Garcia A, Hidalgo M. Diaphragmatic or transdiaphragmatic thoracic involvement in hepatic hydatid disease: surgical trends and classification. World J Surg 1995; 19: 714-9.
- Borrie J, Shaw JH. Hepatobronchial fistula caused by hydatid disease. The Dunedin experience 1952-79. Thorax 1981; 36: 25-8.
- Warren KW, Christophi C, Armendariz R, Basu S. Surgical treatment of bronchobiliary fistulas. Surg Gynecol Obstet 1983; 157: 351-6.
- Bretland PM. Biliary-bronchial fistula due to old hydatid cyst demonstrated with Tc-HIDA. Br J Radiol 1983; 56: 757-9.
- D’Altorio RA, McAllister JD, Sestric GB, Cichon PJ. Hepatopulmonary fistula: treatment with biliary metallic endoprosthesis. Am J Gastroenterol 1992; 87: 784- 6.
- Sharma BC, Agarwal N, Garg S, Kumar R, Sarin SK. Endoscopic management of liver abscesses and cysts that communicate with intrahepatic bile ducts. Endoscopy 2006; 38: 249-53.
- Athanassiadi K, Kalavrouziotis G, Loutsidis A, Bellenis I, Exarchos N. Surgical treatment of echinococcosis by a transthoracic approach: a review of 85 cases. Eur J Cardiothorac Surg 1998; 14: 134-140.
- Freixinet JL, Mestres CA, Cugat E, Mateu M, Gimferrer JM, Catalán M, Callejas MA, Letang E, Sánchez-Lloret J. Hepaticothoracic transdiaphragmatic echinococcosis. Ann Thorac Surg 1988; 45: 426-9.
- Tocchi A, Mazzoni G, Miccini M, Drumo A, Cassini D, Colace L, Tagliacozzo S. Treatment of hydatid bronchobiliary fistulas: 30 years of experience. Liver Int 2007; 27: 209-14.
- Xanthakis DS, Katsaras E, Efthimiadis M, Papadakis G, Varouchakis G, Aligizakis C. Hydatid cyst of the liver with intrathoracic rupture. Thorax 1981; 36: 497-501.
- Sakhri J, Ben Ali A, Letaief R, Derbel F, Dahmen Y, Ben Hadj Hmida R. Hydatic cysts of the liver ruptured into the thorax. Diagnostic and therapeutic aspects. J Chir 1996; 133: 437-41.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 27, 2012 |
| Published in Issue | Year 2012Volume: 34 Issue: 1 |