PDF(Pubmed)
Abstract：
UNASSIGNED: Hydatid cyst is a parasitic infection, often caused by Echinococcus granulosus. Although it is classified as a benign disease, cyst ruptures in the abdomen can be fatal. Ruptures occur spontaneously or after trauma. We aimed to report data from patients who underwent emergency surgery due to spontaneous intra-abdominal hydatid cyst rupture.
UNASSIGNED: Upon a retrospective review of the records at Department of General Surgery, Faculty of Medicine, Harran University, Şanlıurfa, Turkey, we found that 34 cases were operated on due to hydatid cyst rupture between January 2012 and October 2022. All patients were operated on in an emergency, and partial cystectomy, intra-abdominal irrigation, and drainage were performed using laparotomy. The patients were evaluated in terms of age, sex, symptoms, radiological findings, laboratory results, intraoperative findings, and postoperative follow-ups.
UNASSIGNED: Twenty-two (64.7%) female and 12 (35.3%) male patients were enrolled. The mean age was 39.1 (±17.58) years. All patients experienced spontaneous rupture. The ruptured cyst was found in the liver in 32 patients (94%), the spleen in 1 patient (3%), and the pelvis in 1 patient (3%). The diagnosis was determined using ultrasonography in 12 (35.3%) patients, computed tomography in 21 (61.8%) patients, and magnetic resonance imaging in 1 (2.9%) patient. All patients exhibited acute abdomen and leukocytosis. The average length of hospital stay was 5.14 (±1.37) days.
UNASSIGNED: Hydatid cyst rupture should be considered in cases of acute abdomen, particularly in regions where the disease is endemic, as in our region. The ruptured hydatid cyst was primarily observed in the liver (94.11% of cases).
UNASSIGNED: Upon a retrospective review of the records at Department of General Surgery, Faculty of Medicine, Harran University, Şanlıurfa, Turkey, we found that 34 cases were operated on due to hydatid cyst rupture between January 2012 and October 2022. All patients were operated on in an emergency, and partial cystectomy, intra-abdominal irrigation, and drainage were performed using laparotomy. The patients were evaluated in terms of age, sex, symptoms, radiological findings, laboratory results, intraoperative findings, and postoperative follow-ups.
UNASSIGNED: Twenty-two (64.7%) female and 12 (35.3%) male patients were enrolled. The mean age was 39.1 (±17.58) years. All patients experienced spontaneous rupture. The ruptured cyst was found in the liver in 32 patients (94%), the spleen in 1 patient (3%), and the pelvis in 1 patient (3%). The diagnosis was determined using ultrasonography in 12 (35.3%) patients, computed tomography in 21 (61.8%) patients, and magnetic resonance imaging in 1 (2.9%) patient. All patients exhibited acute abdomen and leukocytosis. The average length of hospital stay was 5.14 (±1.37) days.
UNASSIGNED: Hydatid cyst rupture should be considered in cases of acute abdomen, particularly in regions where the disease is endemic, as in our region. The ruptured hydatid cyst was primarily observed in the liver (94.11% of cases).
摘要：
■包虫囊肿是一种寄生虫感染，通常由细粒棘球蚴引起。虽然它被归类为良性疾病，囊肿在腹部破裂可能是致命的。破裂自发发生或创伤后发生。我们旨在报告由于自发性腹内包虫囊肿破裂而接受急诊手术的患者的数据。
■在对普外科的记录进行回顾性审查后，医学院,哈兰大学,sanl²urfa,土耳其,我们发现,在2012年1月至2022年10月期间,34例因包虫囊肿破裂而接受手术.所有病人都在紧急情况下接受了手术,膀胱部分切除术,腹腔冲洗,使用剖腹手术进行引流。对患者进行了年龄评估，性别,症状,放射学发现，实验室结果,术中发现,和术后随访。
■纳入了22例（64.7%）女性和12例（35.3%）男性患者。平均年龄为39.1(±17.58)岁。所有患者均发生自发性破裂。32例(94%)患者肝脏出现囊肿破裂,1例患者的脾脏（3％），1例患者的骨盆（3%）。12例(35.3%)患者采用超声检查确诊,21例（61.8%）患者的计算机断层扫描，1例(2.9%)患者的磁共振成像。所有患者均表现为急腹症和白细胞增多。平均住院时间为5.14(±1.37)天。
■在急腹症的情况下，应考虑包虫囊肿破裂，特别是在疾病流行的地区，在我们地区。包虫囊肿破裂主要在肝脏中观察到（占94.11％）。
■在对普外科的记录进行回顾性审查后，医学院,哈兰大学,sanl²urfa,土耳其,我们发现,在2012年1月至2022年10月期间,34例因包虫囊肿破裂而接受手术.所有病人都在紧急情况下接受了手术,膀胱部分切除术,腹腔冲洗,使用剖腹手术进行引流。对患者进行了年龄评估，性别,症状,放射学发现，实验室结果,术中发现,和术后随访。
■纳入了22例（64.7%）女性和12例（35.3%）男性患者。平均年龄为39.1(±17.58)岁。所有患者均发生自发性破裂。32例(94%)患者肝脏出现囊肿破裂,1例患者的脾脏（3％），1例患者的骨盆（3%）。12例(35.3%)患者采用超声检查确诊,21例（61.8%）患者的计算机断层扫描，1例(2.9%)患者的磁共振成像。所有患者均表现为急腹症和白细胞增多。平均住院时间为5.14(±1.37)天。
■在急腹症的情况下，应考虑包虫囊肿破裂，特别是在疾病流行的地区，在我们地区。包虫囊肿破裂主要在肝脏中观察到（占94.11％）。
