Predicting Factors for the Communication between hydatid Cyst and Biliary Tract

  • سال انتشار: 1396
  • محل انتشار: مجله علمی جراحی، دوره: 4، شماره: 2
  • کد COI اختصاصی: JR_AJS-4-2_004
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 352
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نویسندگان

Mojtaba Javaherzadeh

Associate Professor, Department of Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Ali Shekarchizadeh

Researcher, Poursina Hakim Gastrointestinal Research Center, Poursina Hakim Research Institution, Isfahan, Iran

Amir Hossein Karimi

General Surgeon, Department of Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Babak Sabet

Associate Professor, Department of Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

چکیده

Background: Hydatid cyst communicated with biliary tract increases the morbidity and mortality rates.Therefore, early detection and treatment are vital. Methods: From 96 patients undergone hydatid cyst surgery, 12 were excluded. The specifications, size, location, and position of the cyst, the condition of the cyst wall thickness, the caught lobe, cyst rupture, liver abscess, and the size of the inside and outside liver bile ducts were identified through computed tomography scanning. Age, gender, icterus, white blood cell (WBC) count, the total, direct, and indirect bilirubin, alkaline phosphatase, alanine aminotransferase, and aspartate aminotransferase were identified. Results: In 21 patients (13 men and 8 women), there was communication between the hydatid cyst and biliary tract; from them, 14 patients had icterus. There were significant differences between the size of the cyst, the levels of liver enzymes, bilirubin, and alkaline phosphatase, and WBC count in communicated and noncommunicated hydatid cysts (P = 0.001). There were no significant differences between the two groups in terms of age, gender, location of the cysts in the liver, and the thickness of the liver. Conclusions: Only the cyst size and the level of bilirubin were the predicting factor for the communication between hydatid cyst and biliary tract. © 2017 Tehran University of Medical Sciences. All rights reserved. Citation: Javaherzadeh M, Shekarchizadeh A, Karimi AH, Sabet B. Predicting Factors for the Communication between hydatid Cyst and Biliary Tract. Acad J Surg, 2017; 4(2): 28-30.

کلیدواژه ها

Hydatid cyst; Biliary tract; Morbidity

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