Caustic sclerosing cholangitis. A complication of the surgical treatment of hydatid disease of the liver.
Arch Surg
; 121(10): 1162-5, 1986 Oct.
Article
en En
| MEDLINE
| ID: mdl-3767649
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.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cloruro de Sodio
/
Cáusticos
/
Colangitis
/
Equinococosis Hepática
/
Formaldehído
Límite:
Adult
/
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Arch Surg
Año:
1986
Tipo del documento:
Article