Hydatidosis (echinococcosis) is endemic in the Mediterranean region, including Turkey. We evaluated the problem of perforation in hydatidosis. The clinical data on 21 patients with intra-abdominal hydatid cyst perforation who were treated in the last 10 years were evaluated retrospectively. Twelve patients (57%) were men and nine (43%) were women. Their average age was 40 (range = 20-65). Blunt trauma was the etiologic mechanism in four cases (19%). Except for a case with a cyst in the left inguinal region, most (95%) of the patients had primary hepatic hydatidosis (95%). The procedures used on the 30 cysts found in 21 patients were as follows: partial cystectomy and drainage in 21 (70%), total cystectomy in 5 (17%), partial cystectomy plus omentopexy in 2 (7%), and drainage plus vacuum obliteration in 2 (7%). The average postoperative hospital stay was 12 days (range = 6-30). Two patients (10%) had complications: an incisional hernia developed in one patient, and a gastrocutaneous fistula developed in the other. Albendazole (10 mg/kg/day) was prescribed for two months. The mean follow-up time was 80 months (range = 6-131). Three patients (14%) underwent additional surgery for recurrence at various times. The morbidity and mortality associated with perforated hydatid cysts were higher when compared with that of nonperforated cysts. Hydatidosis is endemic in Turkey and traffic accidents are common. When these factors coexist, hydatid perforation should be considered in trauma patients with stable hemodynamics, but suspicious abdominal findings. The choice of the operative approach should be based on the experience of the surgeon and regional characteristics.
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机译：包虫病（棘球菌病）在包括土耳其在内的地中海地区很普遍。我们评估了葡萄胎的穿孔问题。回顾性分析最近10年来收治的21例腹腔内包虫囊肿穿孔的临床资料。十二名患者（57％）为男性，九名患者（43％）为女性。他们的平均年龄为40岁（范围= 20-65）。钝性外伤是4例（19％）的病因。除左腹股沟区有囊肿的病例外，大多数（95％）患者患有原发性肝葡萄胎病（95％）。在21例患者中发现的30个囊肿中使用的程序如下：21例行部分膀胱切除和引流（70％），5例中行全膀胱切除术（17％），2例中进行部分膀胱切除加网膜切除（7％），引流加真空闭塞2例（7％）。术后平均住院天数为12天（范围= 6-30）。两名患者（10％）有并发症：一名患者发生切口疝，另一名患者发生胃皮肤瘘。开处方阿苯达唑（10 mg / kg /天）两个月。平均随访时间为80个月（范围= 6-131）。三名患者（14％）在不同时间接受了再次手术治疗。与未穿孔的囊肿相比，穿孔的包虫囊肿的发病率和死亡率更高。水肿在土耳其很普遍，交通事故很普遍。当这些因素共存时，对于血流动力学稳定但腹部可疑的外伤患者，应考虑包虫穿孔。手术方法的选择应基于外科医生的经验和地区特点。
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