DOI: 10.21276/sasjs.2019.5.1.5

Pages: 23-28

The clinical presentation of the hydatid cyst disease is varied by its localization, growth rate, cyst size, and involved organ. Intrabiliary rupture (IBR) involving the connection of a high-pressure cyst cavity with the biliary system is the most troublesome complication. In the past, surgery has been the preferred method for the diagnosis and management of IBR complications, but today, non-invasive and minimally invasive methods are used for both the diagnosis and management of these complications. This study was conducted at a single center in Istanbul, Turkey between January 2011 and December 2015. Study data were obtained from the patients’ medical records in a retrospective fashion. Those with a radiologic cyst size greater than 10 cm were named as the major cysts group, as and smaller than 10 cm were grouped as minor cyst group. Both groups were compared with respect to the rate of postoperative biliary fistula (PBF) development. The type of surgical procedure, PBF development status, and PBF management approach were recorded. Liver function tests and cholestasis enzymes were measured in all patients. An indirect hemagglutination test was performed for serological confirmation of the diagnosis. The correlation between laboratory findings and the rate of PBF development was also analyzed