Intracystic infection of liver hydatidosis
Salinas, J.C.; Torcal, J.; Lozano, R.; Sousa, R.; Morandeira, A.; Cabezali, R.
Hepato-Gastroenterology 47(34): 1052-1055
2000
ISSN/ISBN: 0172-6390 PMID: 11020877 Document Number: 518166
The aim of this study is to review the clinical presentation and management of patients with intracystic bacterial infection in liver hydatidosis. The records of 480 patients diagnosed with liver hydatid disease during 1976-96 and treated at the Surgery Department "A", University of Zaragoza, Medical School, Spain, were reviewed. Only 42 patients (29 males, 13 females; aged 19-73 years) fulfilled intracystic bacterial infection criteria. We assessed the incidence, clinical and laboratory findings, diagnostic procedures and surgical approach in these cases. Results revealed that the incidence of intracystic bacterial infection was steady throughout the study period. Clinical and laboratory data were non-specific. Diagnostic procedures for intracystic bacterial infection, including liver computed tomography scan, were of limited value. Although both, radical and non-radical surgical approaches, were used in these patients, mortality was associated with non-radical surgery. The morbidity rate was high regardless of the procedure used. Conclusions: Our current goal in the management of intracystic bacterial infection, if overall condition of the patient is good, is to carry out a total or subtotal cystectomy in order to avoid mortality and hydatid disease relapses.