A Ruptured Cystic Echinococcosis in the Gallbladder and Intra/Extrahepatic Biliary Tract, Radiological and Surgical Imaging Findings/Safra Kesesi ve Intra/Ekstrahepatik Safra Yollarinda Rüptüre Kistik Ekinokokkozisin Radyolojik ve Cerrahi Görüntüleme Bulgulari

• Published in: Türkiye parazitolojii dergisi 2023-09, Vol.47 (3)
• Main Authors: Türkoglu, Saim, Ekici, Abdurrahman, Çoban, Leyla Turgut, Dündar, Ilyas, Okyay, Ozan, Gürbüz, Esra
• Format: Article
• Language: English
• Subjects: Cholecystitis; CT imaging; Diagnostic imaging; Echinococcosis; Emergency medical services; Medical research; Medicine, Experimental; Ultrasound imaging
• ISSN: 1300-6320
• DOI: 10.4274/tpd.galenos.2023.65265

Cystic echinococcosis is a common parasitic infestation that can still cause serious complications in endemic areas. Intrabiliary rupture is a well-defined complication, but rupture into the gallbladder is rare. The disease may present with cholecystitis and cholangitis. Clinicians and radiologists working in the emergency room will find the management of the disease much easier if they become familiar with the clinical and radiological findings of the cyst. In this article, a 28-year-old male admitted to the emergency department with acute abdominal pain who was examined for suspected acute cholecystitis and diagnosed with a rupture of the hydatid intra/extrahepatic bile ducts and gallbladder is presented. Our aim is to present the clinical findings and surgical images of the case (ultrasonography, computed tomography, magnetic resonance imaging) and compare them with the literature. Keywords: Cystic echinococcosis, gallbladder, rupture, ultrasonography, computed tomography, magnetic resonance imaging Kistik ekinokokkozis, endemik bölgelerde hala ciddi komplikasyonlara neden olabilen yaygin bir parazit enfeksiyonudur. Intrabilier rüptür iyi bilinen bir komplikasyondur, ancak safra kesesine rüptür nadirdir. Hastalik kolesistit ve kolanjit ile kendini gösterebilir. Acil serviste çalisan klinisyenler ve radyologlar, kistin klinik ve radyolojik bulgulari iyi bildikleri takdirde hastaligin tedavisini çok daha kolay yapacaklardir. Bu yazida, akut karin agrisi sikayeti ile acil servise basvuran, akut kolesistit süphesiyle muayene edilen ve hidatik intra/ekstrahepatik safra yollari ve safra kesesi rüptürü tanisi alan 28 yasinda erkek hasta sunulmaktadir. Bu çalismanin amaci olgunun klinik bulgularini ve cerrahi görüntülerini (ultrasonografi, bilgisayarli tomografi, manyetik rezonans görüntüleme) sunmak ve literatürle karsilastirmaktir. Anahtar Kelimeler: Kistik ekinokokkozis, safra kesesi, rüptür, ultrasonografi, bilgisayarli tomografi, manyetik rezonans görüntüleme