Bulent SULTANOGLU, Kenan DEMİRBAKAN, Hadiye DEMİRBAKAN

Kist Hidatik Perkutanöz Tedavisinde Ciddi Bir Komplikasyon: Safra Fistülü ve İskemik Karaciğer

Ekinokokkoz, larval evredeki Echinococcus’un yol açtığı, dünyada yaygın olarak görülen kist-formlu zoonitik bir hastalıktır. Tedavi edilmediği takdirde, biliyer sistem fistülleri, anafilaksi ve periton içinde kız vezikül ekilmesine neden olan rüptürlere yol açabilir. PAIR (Perkutanöz aspirasyon, irrigasyon ve reaspirasyon) seçilmiş hastalarda efektif ve güvenilir bir tedavidir. Fakat ender de olsa hayati tehlike yaratan komplikasyonları olabilir. Bu nedenle PAIR uygun cerrahi ve medikal koşulları olan merkezlerde uygulanmalıdır. Perkutanöz olarak tedavi edilen, biliyer fistül ve hepatik iskemi komplikasyonlarına yol açan hidatik kist vakasını sunduk.

Anahtar Kelimeler:

Echinococcosis, biliyer fistül, PAIR

A Serious Complication of Percutaneous Treatment of Hydatid Cycts: Bile Fistula and Ischemia of Liver

Echinococcosis is a zoonotic, cyst-forming parasitic disease of worldwide distribution caused by the larval stage of the Echinococcus. When left untreated, grow and follow one of several courses such as fistulae with adjacent organ or biliary system, rupture into the peritoneal cavity caused anaphylaxis, rupture into peritoneal cavity seeding daughter cysts. PAIR (percutaneous aspiration, irrigation with scolicide and respiration) has been utilized safely an effectively in selected patients. But rarely, a complication of PAIR can be life-threatening. Therefore, PAIR should only be performed in centers with appropriate medical and surgical modalities. We present a case of percutaneous treatment of hydatid cyst with a serious complication: biliary fistula and hepatic ischemia.

Keywords:

Echinococcosis, bile fistula, PAIR,

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