Surgical Management of Liver Hydatid Cyst Related Non-traumatic Emergencies: Single Center Experience
DINC، Tolga نويسنده Dept. of General Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey DINC, Tolga , KAYILIOGLU، Selami Ilgaz نويسنده Dept. of General Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey KAYILIOGLU, Selami Ilgaz , AKTURK، Okan Murat نويسنده Dept. of General Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey AKTURK, Okan Murat , COSKUN، Faruk نويسنده Dept. of General Surgery, Ankara Numune Training and Research Hospital, Ankara, Turkey COSKUN, Faruk
Background: Vast majority of complaints and physical examination findings of hydatid disease are common in emergency room patients. Different emergency presentations of hydatid cyst disease and their treatment are evaluated. We studied preoperative laboratory findings of these patients to identify any parameters to predict hydatid cyst-biliary system communication.
Methods: We reviewed the files of patients who underwent emergency surgery due to liver hydatid cysts and related conditions between March 2010 and March 2014 in Ankara Numune Research and Training Hospital, Turkey, retrospectively. Patients were grouped, regarding to the presence of biliary system involvement.
Results: Twelve patients (9 males, 3 females) were included. We identified two groups. Biliary system involved group (n=9) had significantly higher pre-operative gamma glutamine transferase and alkaline phosphatase levels (P=0.036). No significant difference was noted regarding other pre-operative laboratory findings. Mortality rate was 17%.
Conclusion: Medical literature lacks sufficient information about hydatid disease related non-traumatic emergency surgeries. Preoperative elevated gamma glutamyl transferase and alkaline phosphatase levels may be questioned as a warning about cyst-biliary communication in hydatid cyst patients with abdominal pain in the emergency room. Future studies with larger sample sizes are needed. In addition, prolongation of the time before diagnosis in these patients may result in life threatening complications.