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ANALYSIS OF SURGICAL MANAGEMENT OF OBSTRUCTIVE JAUNDICE DUE TO SPONTANEOUS INTRABILIARY RUPUTE HYDATID CYSTS OF LIVER

Dr Zeeshan Rasul Awan, Dr Hassan Mohsin, Dr Muhammad Muddassar Shafiq

Aims and objectives: Hepatic hydatid disease usually runs asymptomatically, while clinical features, if present, are usually due to complications that supervene. The main objective of the study is to analyse the surgical management of obstructive jaundice due to spontaneous intrabiliary rupute hydatid cysts of liver. Material and methods: This descriptive study was conducted in Health department Punjab during 2019. The data was collected from 100 patients. A cyst-biliary communication was detected in 24 (21%) patients. These patients were examined in 2 groups: 15 (13%) had an occult perforation and 9 (8%) had a frank intrabiliary rupture. Results: The data was collected from 100 patients. The age range was from 8 to 75 years (mean, 40 years). The most common presenting symptom was right upper quadrant abdominal pain. A history of jaundice was found in 9 (8%) of the patients. Thirteen patients (11%) were asymptomatic. The duration of symptoms ranged from 1 month to 7 years (median, 3 months). The disease was primary in 22 (92%) patients, and recurrent in 2 (8%). Seventeen patients (71%) had a single cyst, and 7 (29%) had multiple cysts. Conclusion: It is concluded that better results can be obtained by using the clinical predictors that are demonstrated in this study for the early diagnosis and proper management of an intrabiliary rupture of a hydatid cyst of the liver

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