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Caustic sclerosing cholangitis. A complication of the surgical treatment of hydatid disease of the liver.
Arch Surg 1986; 121(10):1162-5AS

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.

Authors

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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 -