Beyrouti et al., reported four morbidities
(23.5%) and two mortalities (11.8%) in a series of 17 patients, and Sozuer et al. reported two complications (10%) but no mortality in 21 patients [7, 12]. Deaths were due to septic shock and multiorgan failure. We had no mortality in our study. All patients received albendazole for selleck inhibitor at least 6 month to reduce recurrence rate. Albendazol treatment is effective for preventing recurrence and secondary hydatidosis, but there is no agreement on the duration of use of the medication for cyst sterilization. The efficacy and safety of albendazole treatment have been demonstrated in various studies [1, 3, 24]. Recurrence rates were 0% to 13% in other studies [14, 25]. Gunay et al. [14] reported no recurrence after a mean follow-up of 30 months. In the studies of Beyrouti et al., and Sozuer and Ackan and Dreci et al., recurrence rates are 6.7% and 14% and 11,1and 7,7 respectively [1, 3, 7, 12]. In the series of Kurt et al., recurrence is reported at 28.6% in seven cases [10]. In our study, there were one cases (7,1%) of recurrent disease. Conclusions Rupture of hydatid cysts into the peritoneal cavity, although rare, still presents a challenge for the surgeon. This
pathology should be included in the differential diagnosis of acute abdomen in endemic areas Emergency surgery is the main treatment for intraperitoneal RG-7388 solubility dmso rupture of hydatid cysts, and medical treatment should be given postoperatively. The Dynein choice between a radical and a conservative operative procedure should be based on the number, size, and localization of cysts; the relation of cysts to bile ducts and blood vessels; additional organ injuries; and the general condition of the patient. In addition, the morbidity rates of surgical operations are higher
among patients with perforated hydatid cysts than in those with noncomplicated cases. It is most important to prevent hydatid infestation. Consent Written informed consent was obtained from the patient for the publication of this report and any accompanying images. Acknowledgements Thanks are due to our general surgery colleagues. Our thanks are also due to Dr. Abdelaziz hibatallah for helping in preparation of the manuscript. References 1. Derici H, Tansug T, Reyhan E, Bozdag AD, Nazli O: Acute intraperitoneal rupture of hydatid cysts. World J Surg 2006, 30:1879–1883.PubMedCrossRef 2. McManus DP, Zhang W, Li J, Bartley PB: Echinococcosis. Lancet 2003, 362:1295–1304.PubMedCrossRef 3. Akcan A, Akyildiz H, Artis T, Ozturk A, Deneme MA, Engin O, Sozuer E: Peritoneal perforation of liver hydatid cysts: clinical presentation, predisposing factors, and surgical outcome. World J Sur 2007, 31:1284–1291. 4. Barnes SA, Lillemoe KD: Liver abscess and hydatid cyst disease. In Maingot’s abdominal operations. 10th edition.