DIAGNOSIS AND MANAGEMENT OF HEPATIC HYDATIDOSIS COMPLICATED WITH BILIARY FISTULA

作     者：徐明谦 

作者机构：Research Unit of Hydatidology People's Hospital of Xinjiang Autonomous Region Urumqi. 

出 版 物：《中华医学杂志(英文版)》 (Chinese Medical Journal)

年 卷 期：1992年第105卷第1期

页      面：69-72页

核心收录：

学科分类：13[艺术学] 

摘      要：A total of 1204 patients with liver hydatidosiswere treated by operations in our hospital from 1953 *** these 74 had biliary fistulae. Growth of echinococcus cyst causes displacement,distortion and stenosis of the hepatic ductules with im-paired bile *** effusion may occur be-tween the endo-and ecto-cyst *** term com-pression renders the hepatic ductule atrophic,and lia-ble to rupture,forming a hydatid cyst-biliary *** hydatid cyst can rupture into the biliary tract,andcyst fluid escapes into the biliary tract with daughtercysts discharged into the common bile duct,causingbiliary colic,obstructive jaundice and possibly liver ab-scess. For acute obstructive and suppurative cholangitis,drainage of purulent bile and daughter cysts and man-agement of the infected hydatid cyst are ***-ter removal of the echinococcus cyst,the fistulousopening on the hepatic duct must be sutured,but asmall biliary fistula may be left alone. According to the thickness of the ectocyst wall,size of the cavity,severity of the infection,and degreeof bile leakage,one of the following operative proce-dures for obliteration of the residual cavity can be se-lected:(1)closure by inversion suture of ectocyst;(2)omental or muscle flap obliberation;(3)closed catheterdrainage.