You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 121 No. 10, October 1986 TABLE OF CONTENTS
  Archives
  •  Online Features
  ARTICLE
 This Article
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal

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

J. Belghiti, J. P. Benhamou, S. Houry, P. Grenier, M. Huguier and F. Fekete

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.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Clinical Management of Cystic Echinococcosis: State of the Art, Problems, and Perspectives
Junghanss et al.
Am J Trop Med Hyg 2008;79:301-311.
ABSTRACT | FULL TEXT  

Percutaneous Sonographically Guided Treatment of Hydatid Cysts in Sheep: Direct Injection of Mebendazole and Albendazole
Paksoy et al.
J Ultrasound Med 2003;22:797-803.
ABSTRACT | FULL TEXT  

The Laparoscopic Approach to Abdominal Hydatid Cysts: A Prospective Nonselective Study Using the Isolated Hypobaric Technique
Bickel et al.
Arch Surg 2001;136:789-795.
ABSTRACT | FULL TEXT  

Surgical Treatment of Hydatid Disease of the Liver: Review of 304 Cases
Balik et al.
Arch Surg 1999;134:166-169.
ABSTRACT | FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1986 American Medical Association. All Rights Reserved.