Jurnalul de Chirurgie
 Jurnalul de chirurgie
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Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 21 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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FOLLOW-UP AFTER SURGICAL TREATMENT OF HEPATIC HYDATID CYSTS: SPECTRUM OF ULTRASOUND AND CONTRAST STUDIES FINDINGS
Corina Ursulescu 1, Felicia Crumpei 2, E.Târcoveanu 2

1 Clinic of Radiology, „St. Spiridon” Hospital Iasi,
2 First Surgical Clinic, „St. Spiridon” Hospital Iasi
University of Medicine and Pharmacy „Gr.T. Popa” Iasi
Jurnalul de chirurgie 2006; 2 (1):54-60
Full text: PDF Format (Romanian)

Abstract:

Purpose: To present the spectrum of imaging findings in the postoperative period and assess the role of ultrasound and contrast studies in postoperative follow-up after surgical treatment for hepatic hydatid cyst (HHC).

Material and methods: A retrospective study included 69 patients surgically treated for HHC. The surgical procedures performed were conservative in 59 patients and radical in 10 patients. The imaging follow-up was most frequently made by abdominal ultrasound (69 cases, 1 to 5 examinations/ patient) and cavity control with contrast media (46 cases, 1 to 4 examinations/patient). The follow-up was made in early and late postoperative period, up to one year. The following aspects were assessed: cavity evolution (size, content, walls); drains position; biliary fistula; peritoneal or pleural fluid effusion; wound healing; hydatid disease relapse.

Results: Cavity evolution was: favourable 52/69; unfavourable - cavity size unchanged/enlarged: 9/69; infected cyst cavity: 8/69. Drains were eccentrically placed, touching the walls in 8/69 cases. Complications detected were: biliary fistula: 14/69; peritoneal effusion: 5/69; acute pancreatitis: 1/69, pleural effusion: 7/69, incision wound infection: 5/69; hydatid disease relapse: 2/69.

Conclusions: Ultrasound and contrast studies are necessary to follow-up the patients with operated hepatic hydatid disease, both to certify the normal evolution and to identify the complications.

KEYWORDS: ECHINOCOCCOSIS, LIVER, SURGERY, ULTRASOUND, CONTRAST STUDIES.

Correspondence: Corina Ursulescu, MD, PhD; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.