Iranian Journal of Parasitology 2016. 11(4):574-579.

Surgical Management of Liver Hydatid Cyst Related Non-traumatic Emergencies: Single Center Experience
Tolga DINC, Selami Ilgaz KAYILIOGLU, Okan Murat AKTURK, Faruk COSKUN


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.


Hydatid cyst; Liver; Emergency; Biliary system

Full Text:



Tiseo D, Borrelli F, Gentile I, Benassai G, Quarto G, Borgia G. Cystic echinococcosis in humans: our clinic experience. Parassitologia. 2004; 46:45-51.

Wen H, New RR, Craig PS. Diagnosis and treatment of human hydatidosis. Br J Clin Pharmacol. 1993;35:565-74.

Gharbi HA, Hassine W, Brauner MW, Dupuch K. Ultrasound examination of the hydatic liver. Radiology. 1981;139:459-63.

Belli S, Akbulut S, Erbay G, Koçer NE. Spontaneous giant splenic hydatic cyst rupture causing fatal anaphlactic shock: a case report and brief literature review. Turk J Gastroenterol. 2014;25:88-91

Maqbool B, Anwar MS. Hepatic hydatid cyst presenting as anaphylaxis. J Coll Physicians Surg Pak. 2007;17:224-5.

Beyrouti MI, Beyrouti R, Abbes I, et al. Acute rupture of hydatid cysts in the peritoneum: 17 cases. Presse Med. 2004;33:378-84.

Zargar SA, Khuroo MS, Khan BA, Dar MY, Alai MS, Koul P. Intrabiliary rupture of hepatic hydatid cyst: sonographic and cholangiographic appearances. Gastrointest Radiol. 1992;17:41-5.

Atli M, Kama NA, Yuksek YN, et al. Intrabiliary rupture of a hepatic hydatid cyst: associated clinical factors and proper management. Arch Surg. 2001;136:1249-55.

Demircan O, Baymus M, Seydaoglu G, Akinoglu A, Sakman G. Occult cystobiliary communication presenting as postoperative biliary leakage after hydatid liver surgery: are there significant preoperative clinical predictors? Can J Surg. 2006;49:177-84.

Mouaqit O, Hibatallah A, Oussaden A, Maazaz K, Taleb KA. Acute intraperitoneal rupture of hydatid cysts: a surgical experience with 14 cases. World J Emerg Surg. 2013;8:28.

Akcan A, Akyildiz H, Artis T, et al. Peritoneal perforation of liver hydatid cysts: clinical presentation, predisposing factors, and surgical outcome. World J Surg. 2007;31:1284-91.

Bedirli A, Sozuer EM, Sakrak O, Babayigit H, Yilmaz Z. Comparison of the results of early, delayed and elective surgery in biliary pancreatitis. Turk J Gastroenterol. 2003;14:97-101.

Yagci B, Parildar M, Oran I, Memis A. Percutaneous interventional therapy of persistent biliary fistulas. Abdom Imaging. 2007;32:475-80.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.