RESUMO
The persistence of a hepato-jejunal fistula after 9 years from a peri-cystic-jejunostomy in the treatment of hydatid liver cysts is an amazing condition. We discover this kind of fistula during the operation for cholelithiasis. This association between fistula and a "after-hydatid" choledocholithiasis is an opportunity to discuss some pathogenic and evolutive mechanisms about both of two entities.
Assuntos
Fístula Biliar/etiologia , Equinococose Hepática/cirurgia , Fístula Intestinal/etiologia , Jejunostomia/efeitos adversos , Jejuno , Fístula Biliar/diagnóstico por imagem , Fístula Biliar/cirurgia , Colelitíase/diagnóstico por imagem , Colelitíase/cirurgia , Feminino , Humanos , Fístula Intestinal/diagnóstico por imagem , Fístula Intestinal/cirurgia , Radiografia , Resultado do TratamentoRESUMO
We purpose to make a metanalysis of a external drainage and his role in the treatment of the hydatid liver cysts when it was made a anastomosis between peri-cystic cavity and a isolated loop of jejunum. The paper watch 74 cases which were operated in "I. Juvara" surgical clinic and in which it was used the external drainage of peri-cystic cavity. The drainage roles consist in follow up of peri-cystic cavity evolution, but, more than that, in early diagnosis and treatment of secondary infection of cavity, the main postoperative complication. The drainage excludes the possibility of unfavourable evolution of postoperative infection, in which case the result of operation may be compromised.