HYDATID DISEASE OF LIVER WITH THORACIC INVOLVEMENT

  • 1 January 1976
    • journal article
    • research article
    • Vol. 143  (4) , 570-574
Abstract
Twelve patients with hydatid disease of the liver with intrathoracic involvement were treated. The clinical and roentgenologic symptoms depended greatly upon the evolutionary stage of the disease. General conditions were seriously affected in instances of ruptured and infected cysts. When the cysts opened into the tracheobronchial tree as a result of coughing up pus in profuse quantities, the general condition improved to a certain degree, but bronchopulmonary symptoms increased at that moment. The spitting of bile was a symptom of biliary hypertension. This condition must be treated first to avoid recurrence of the process. Surgical treatment was based upon: correct drainage of the cystic intrahepatic cavity under the diaphragm, separating the pleural cavity completely from the intrahepatic; excision of the transdiaphragmatic fistulous tract; conservative indications for pulmonary resection and possible existence of biliary hypertension before and after operation.

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