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O. F. Şenyüz A. C. Celayir N. Kiliç S. Celayir N. Sarimurat E. Erdoğan D. Yeker 《Pediatric surgery international》1999,15(3-4):217-220
The records of 100 children with hydatid disease were reviewed retrospectively from 1978 to 1997; 43 were girls and 57 were
boys. The mean age was 9.14 years; 61 patients had 124 hepatic cysts. Presenting symptoms were asymptomatic abdominal masses,
found masses incidentally during ultrasonography (US), or acute abdomen. Plain X-ray films, US, or computerized tomography
(CT) are sufficient for diagnostic evaluation in endemic areas. In the differential diagnosis, laboratory investigations such
as the Casoni and Weinberg tests, indirect hemagglutination, eosinophilia, and ELISA were also used. These tests may give
negative results, however, in some patients with hydatid disease. The mean follow-up time was 10.5 years (range 1–18 years),
the mean duration of hospitalization 7 days. The complication rate was 3.6%. Mortality was 3.27% and occurred after the administration
of formaldehyde and hypertonic scolicidal agents. Hydatid disease of the liver can be treated medically in selected patients;
conservative surgical approaches that save as much parenchyma as possible, such as partial cystectomy and capitonnage, are
indicated in the other cases.
Accepted: 5 January 1999 相似文献
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Hydatid disease is a common condition in Libya. Between 1971 and 1976, hydatid disease accounted for 0.85% of total hospital admissions to Al-Jalah General Hospital, Benghazi. The incidence of hydatid disease reported in children below ten years of age was 11.7%. In this paper the experience of treating 56 children with hydatid disease is described. The presenting features, complications, surgical techniques and results are reported and discussed. 相似文献
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Gangopadhyay AN Sahoo SP Sharma SP Gupta DK Sinha CK Rai SN 《Pediatric surgery international》2000,16(1-2):89-90
Although there is voluminous literature describing various aspects of hydatid disease in children, little attention has been
paid to the small group of patients whose symptoms result in atypical presentation. This article addresses this problem, describing
the features in ten children aged from 2 to 12 years. The sites of involvement were within a choledochal cyst (1). the pelvic
cavity (1), the spleen (1), and transverse mesocolon. Albendazole was efficacious in the treatment of one recurrent case,
as well as in preventing recurrence.
Accepted: 19 April 1999 相似文献
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Background
Hydatid disease is a serious public health problem in endemic areas. Percutaneous treatment is an effective alternative to surgical and medical therapy in hydatid liver disease (HLD). 相似文献7.
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Hepatic hydatid disease is an uncommon surgical emergency. We report an observation and its diagnosis and treatment. CASE REPORT: An algerian child consulted in emergency unit for appendicitis syndrome. The surgeon discovered an opened hydatid liver cyst. He performed a cystectomy associated with post-operative chemotherapy. DISCUSSION: Hepatic hydatid disease is frequent in endemic zone. If not complicated, it is often revealed by hepatomegaly. The diagnosis is radiological and mainly serological. Management is medicosurgical. CONCLUSION: Prognosis depends on early surgical management. Long-time serological and echographic follow-up is required. 相似文献
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To review the results of different modalities of treatment of hydatid disease of the liver (HDL) in pediatric patients, 31 children treated surgically between 1990 and 2000 at the departments of general surgery and pediatric surgery, Atatürk University School of Medicine, were reviewed retrospectively; 19 were male and 12 were female. The mean age was 8.4 years (range 4-12 years). The most common complaints were an abdominal mass and right-upper-quadrant pain, which were present in 35.5% and 77.4% of cases, respectively. Twenty-five cysts were in the right lobe, 2 in the left lobe, and 4 in both lobes; 8 patients had multiple hepatic cysts and 5 had coexisting cysts in other organs. Surgical procedures were: unroofing plus tube drainage (UTD); capitonnage; omentoplasty; and pericystectomy. Of the patients treated by UTD, 2 developed cholangitis and 1 developed a biliary fistula. Of the patients with capitonnage, 1 developed cholangitis. Surgery is still one of treatment modalities for management of HDL. Omentoplasty and capitonnage are the most effective modalities for the management of the cyst cavity. 相似文献
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M Verma D Singh J Chhatwal R S Beri N Kumar M C Deodhar T Singh D K Gupta 《Indian pediatrics》1991,28(8):944-947
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S. Demirbilek S. Sander H. F. Atayurt G. Aydın 《Pediatric surgery international》2001,17(5-6):373-377
Hydatid liver disease in children is a serious problem where the parasite is endemic. Although surgery is considered the
treatment of choice, medical therapy is an alternative, but its curative efficacy is controversial. The aims of this study
were to evaluate the curative efficacy of medical treatment and compare the results of surgical techniques with respect to
postoperative complications in 102 consecutive children (64 male and 38 female, aged 4 to 15 years, mean 8.15 years) treated
in two children's hospitals between 1988 and 1997. In 67, medication with albendazole was used as the initial therapy; 17
had multiple hepatic cysts and 8 had coexisting cysts in the lung. Success was defined as progressive shrinkage and solidification
of the cyst. The overall success of medical therapy was approximately 27%: 18 of the 67 patients were cured with albendazole
(15 had a single cyst, 3 multiple cysts) and 1 recurrence (6%) was observed. Age, sex, and the size, location, and number
of cysts did not show any relationship to the response to medical therapy. After 12 to 14 weeks of medical treatment, a viable
cyst on ultrasonography and/or computed tomography was accepted as a sign of treatment failure and these patients were scheduled
for surgery. A total of 84 patients (35 primarily, 49 after unsuccessful medical therapy) were treated surgically. Procedures
included cystectomy and tube drainage in 11 patients, cystectomy in 17, cystectomy and capitonnage in 24, and cystectomy and
omentoplasty in 32. The incidence of early postoperative complications was 55% for tube drainage, 18% for cystectomy, 13%
for capitonnage, and 0% for omentoplasty. During the follow-up period, 2 surgical patients (2%) developed recurrent disease.
Medical treatment with albendazole resulted in fewer curative successes than expected. A longer period of medical treatment
may increase the success rate; this question requires further study. Omentoplasty decreased the rate of early postoperative
complications, especially cavity abscess and biliary fistula, after surgical treatment and should be recommended in this setting.
Accepted: 22 September 2000 相似文献
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Fibropolycystic liver disease in children 总被引:1,自引:1,他引:0
Myka Call Veigel Julia Prescott-Focht Michael G. Rodriguez Reza Zinati Lei Shao Charlotte A. W. Moore Lisa H. Lowe 《Pediatric radiology》2009,39(4):317-327
Fibropolycystic liver diseases are a group of associated congenital disorders that present most often in childhood. These
disorders include congenital hepatic fibrosis, biliary hamartomas, autosomal dominant polycystic liver disease, choledochal
cysts and Caroli disease. We present a discussion and illustrations of the embryology, genetics, anatomy, pathology, imaging
approach and key imaging features that distinguish fibropolycystic liver disease in children. The pathogenesis of these disorders
is believed to be abnormal development of the embryonic ductal plates, which ultimately form the liver and biliary systems.
An understanding of the abnormal embryogenesis helps to explain the characteristic imaging features of these disorders. 相似文献
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NAFLD/NASH is now recognised as an increasing clinical problem in children and adolescents. Risk factors include obesity, insulin resistance, and hypertriglyceridaemia. Drug hepatoxicity and genetic or metabolic diseases that can cause hepatic steatosis must be excluded. Affected children are usually asymptomatic although a few may complain of malaise, fatigue, or vague recurrent abdominal pain. Liver biopsy is the gold standard for diagnosis, and is important in determining disease severity and prognosis. The natural history of childhood NASH may be progressive liver disease for a significant minority. Long term follow up studies in this population are still lacking. The mainstay of treatment is weight reduction. The use of pharmacological therapy, though promising, ideally needs further evaluation in well designed randomised controlled studies in children. 相似文献
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Fatty liver disease in children. 总被引:4,自引:0,他引:4
NAFLD/NASH is now recognised as an increasing clinical problem in children and adolescents. Risk factors include obesity, insulin resistance, and hypertriglyceridaemia. Drug hepatoxicity and genetic or metabolic diseases that can cause hepatic steatosis must be excluded. Affected children are usually asymptomatic although a few may complain of malaise, fatigue, or vague recurrent abdominal pain. Liver biopsy is the gold standard for diagnosis, and is important in determining disease severity and prognosis. The natural history of childhood NASH may be progressive liver disease for a significant minority. Long term follow up studies in this population are still lacking. The mainstay of treatment is weight reduction. The use of pharmacological therapy, though promising, ideally needs further evaluation in well designed randomised controlled studies in children. 相似文献
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A cross sectional study was conducted in 100 children, aged 5 to 12 years, to find the prevalence of non-alcoholic fatty liver dieases (NAFLD), at New Delhi. Those with fatty liver on ultrasonography with no apparent etiology, were labeled as NAFLD. Three (3%) children had evidence of fatty liver on ultrasonography. 相似文献
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H V Price 《Archives of disease in childhood》1973,48(10):816-818