Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute Cholangitis
Background: One of the evolutionary complications of hepatic echinococcosis (HE) is cholangiohydatidosis, a rare cause of obstructive jaundice and cholangitis. The aim of this study was to describe the results of surgical treatment on a group of patients with cholangiohydatidosis and secondary chola...
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doaj-0a2b3fd1257241c59a11a36b3efda2962021-06-09T05:51:19ZengElsevierAnnals of Hepatology1665-26812017-05-01163436441Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute CholangitisCarlos Manterola0Tamara Otzen1Department of Surgery and CEMyQ (Center of Morphological and Surgical Studies), Universidad de La Frontera, Chile; Center for Biomedical Research, Universidad Autónoma de Chile, Temuco, Chile; Corresponce and reprint request:Center for Biomedical Research, Universidad Autónoma de Chile, Temuco, Chile; Universidad de Tarapacá, ChileBackground: One of the evolutionary complications of hepatic echinococcosis (HE) is cholangiohydatidosis, a rare cause of obstructive jaundice and cholangitis. The aim of this study was to describe the results of surgical treatment on a group of patients with cholangiohydatidosis and secondary cholangitis in terms of post-operative morbidity (POM). Material and method: Case series of patients operated on for cholangiohydatidosis and cholangitis in the Department at Surgery of the Universidad de La Frontera and the Clínica Mayor in Temuco, Chile between 2004 and 2014. The minimum follow-up time was six months. The principal outcome variable was the development of POM. Other variables of interest were age, sex, cyst diameter, hematocrit, leukocytes, total bi-lirubin, alkaline phosphatase and transaminases, type of surgery, existence of concomitant evolutionary complications in the cyst, length of hospital stay, need for surgical re-intervention and mortality. Descriptive statistics were calculated. Results: A total of 20 patients were studied characterized by a median age of 53 years, 50.0% female and 20.0% having two or more cysts with a mean diameter of 13.3 ± 6.3 cm. A median hospital stay of six days and follow-up of 34 months was recorded. POM was 30.0%, re-intervention rate was 10.0% and mortality rate was 5.0%. Conclusion: Cholangiohydatidosis is a rare cause of obstructive jaundice and cholangitis associated with significant rates of POM and mortality.http://www.sciencedirect.com/science/article/pii/S166526811930417XEchinococcosis [MeSH]Hydatidosis [Multi]EchinococcosisHepatic [Mesh]Hepatic Hydatid CystEchinococco-sis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carlos Manterola Tamara Otzen |
spellingShingle |
Carlos Manterola Tamara Otzen Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute Cholangitis Annals of Hepatology Echinococcosis [MeSH] Hydatidosis [Multi] Echinococcosis Hepatic [Mesh] Hepatic Hydatid Cyst Echinococco-sis |
author_facet |
Carlos Manterola Tamara Otzen |
author_sort |
Carlos Manterola |
title |
Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute Cholangitis |
title_short |
Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute Cholangitis |
title_full |
Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute Cholangitis |
title_fullStr |
Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute Cholangitis |
title_full_unstemmed |
Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute Cholangitis |
title_sort |
cholangiohydatidosis: an infrequent cause of obstructive jaundice and acute cholangitis |
publisher |
Elsevier |
series |
Annals of Hepatology |
issn |
1665-2681 |
publishDate |
2017-05-01 |
description |
Background: One of the evolutionary complications of hepatic echinococcosis (HE) is cholangiohydatidosis, a rare cause of obstructive jaundice and cholangitis. The aim of this study was to describe the results of surgical treatment on a group of patients with cholangiohydatidosis and secondary cholangitis in terms of post-operative morbidity (POM). Material and method: Case series of patients operated on for cholangiohydatidosis and cholangitis in the Department at Surgery of the Universidad de La Frontera and the Clínica Mayor in Temuco, Chile between 2004 and 2014. The minimum follow-up time was six months. The principal outcome variable was the development of POM. Other variables of interest were age, sex, cyst diameter, hematocrit, leukocytes, total bi-lirubin, alkaline phosphatase and transaminases, type of surgery, existence of concomitant evolutionary complications in the cyst, length of hospital stay, need for surgical re-intervention and mortality. Descriptive statistics were calculated. Results: A total of 20 patients were studied characterized by a median age of 53 years, 50.0% female and 20.0% having two or more cysts with a mean diameter of 13.3 ± 6.3 cm. A median hospital stay of six days and follow-up of 34 months was recorded. POM was 30.0%, re-intervention rate was 10.0% and mortality rate was 5.0%. Conclusion: Cholangiohydatidosis is a rare cause of obstructive jaundice and cholangitis associated with significant rates of POM and mortality. |
topic |
Echinococcosis [MeSH] Hydatidosis [Multi] Echinococcosis Hepatic [Mesh] Hepatic Hydatid Cyst Echinococco-sis |
url |
http://www.sciencedirect.com/science/article/pii/S166526811930417X |
work_keys_str_mv |
AT carlosmanterola cholangiohydatidosisaninfrequentcauseofobstructivejaundiceandacutecholangitis AT tamaraotzen cholangiohydatidosisaninfrequentcauseofobstructivejaundiceandacutecholangitis |
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