Tags

Type your tag names separated by a space and hit enter

Caustic sclerosing cholangitis. A complication of the surgical treatment of hydatid disease of the liver.

Abstract

In five patients, sclerosing cholangitis developed after the surgical treatment of hydatid cyst of the liver. The cyst communicated with the biliary tree, and a scolicidal solution (2% formaldehyde in two patients and 20% sodium chloride in three) was injected into the cyst. Cholangiography showed strictures affecting the intrahepatic biliary tree in two and both the intrahepatic and extrahepatic biliary tree in three. Sclerosing cholangitis in these patients was likely to result from the caustic effect of the scolicidal solution having diffused from the cyst into the biliary tree. We propose to designate this entity "caustic sclerosing cholangitis". Because of the risk of this complication, and the unproved efficacy of intracystic injection of a scolicidal solution in preventing the dissemination of the parasite, we recommend that this maneuver be abandoned in the surgical treatment of hydatid disease of the liver.

Links

  • Publisher Full Text
  • Authors

    , , , , ,

    Source

    MeSH

    Adult
    Aged
    Caustics
    Cholangiography
    Cholangitis
    Cholestasis, Extrahepatic
    Cholestasis, Intrahepatic
    Echinococcosis, Hepatic
    Formaldehyde
    Humans
    Male
    Middle Aged
    Postoperative Complications
    Sclerosis
    Sodium Chloride

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    3767649

    Citation

    Belghiti, J, et al. "Caustic Sclerosing Cholangitis. a Complication of the Surgical Treatment of Hydatid Disease of the Liver." Archives of Surgery (Chicago, Ill. : 1960), vol. 121, no. 10, 1986, pp. 1162-5.
    Belghiti J, Benhamou JP, Houry S, et al. Caustic sclerosing cholangitis. A complication of the surgical treatment of hydatid disease of the liver. Arch Surg. 1986;121(10):1162-5.
    Belghiti, J., Benhamou, J. P., Houry, S., Grenier, P., Huguier, M., & Fékété, F. (1986). Caustic sclerosing cholangitis. A complication of the surgical treatment of hydatid disease of the liver. Archives of Surgery (Chicago, Ill. : 1960), 121(10), pp. 1162-5.
    Belghiti J, et al. Caustic Sclerosing Cholangitis. a Complication of the Surgical Treatment of Hydatid Disease of the Liver. Arch Surg. 1986;121(10):1162-5. PubMed PMID: 3767649.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Caustic sclerosing cholangitis. A complication of the surgical treatment of hydatid disease of the liver. AU - Belghiti,J, AU - Benhamou,J P, AU - Houry,S, AU - Grenier,P, AU - Huguier,M, AU - Fékété,F, PY - 1986/10/1/pubmed PY - 1986/10/1/medline PY - 1986/10/1/entrez SP - 1162 EP - 5 JF - Archives of surgery (Chicago, Ill. : 1960) JO - Arch Surg VL - 121 IS - 10 N2 - In five patients, sclerosing cholangitis developed after the surgical treatment of hydatid cyst of the liver. The cyst communicated with the biliary tree, and a scolicidal solution (2% formaldehyde in two patients and 20% sodium chloride in three) was injected into the cyst. Cholangiography showed strictures affecting the intrahepatic biliary tree in two and both the intrahepatic and extrahepatic biliary tree in three. Sclerosing cholangitis in these patients was likely to result from the caustic effect of the scolicidal solution having diffused from the cyst into the biliary tree. We propose to designate this entity "caustic sclerosing cholangitis". Because of the risk of this complication, and the unproved efficacy of intracystic injection of a scolicidal solution in preventing the dissemination of the parasite, we recommend that this maneuver be abandoned in the surgical treatment of hydatid disease of the liver. SN - 0004-0010 UR - https://www.unboundmedicine.com/medline/citation/3767649/Caustic_sclerosing_cholangitis__A_complication_of_the_surgical_treatment_of_hydatid_disease_of_the_liver_ L2 - https://jamanetwork.com/journals/jamasurgery/fullarticle/vol/121/pg/1162 DB - PRIME DP - Unbound Medicine ER -