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8 - Multiple hydatid cysts and nontraumatic rupture of multiple cysts
Mehmet Uludağ, Gürkan Yetkin, Abut Kebudi, Bülent Çitgez, Arslan Çoban, Özgün Önçeken
The most common complication is rupture of the hydatid cyst. Rupture was clasified in to three categories: contained, communicating, and direct. Contained rupture is when only the parasitic endocyst ruptures and the cyst contents are confined within the host-derived pericyst. When cyst contents escape via biliary or bronchial radicles that are incorporated in the pericyst, the rupture is communicating. Direct rupture occurs when both the endocyst and the pericyst tear, spilling cyst contents directly into the peritoneal or pleural cavities or occasionally into other structures. Communicating and direct forms have more serious clinical implications than contained rupture. Here we report a 21 year old nontraumatic, male patient with both contained and direct peritoneal rupture cysts presenting with acute abdominal finding. The clinical findings, diagnosis, and the treatment methods related to the petitoneal rupture were discussed.
Keywords: Hydatid cyst, rupture, intraperitoneal rupture, complication
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