Multiple hydatid cysts and nontraumatic rupture of multiple cysts

The most common complication is rupture of the hydatid cyst. Rupture was clasified in to three categories: contained, communicating, and direct. Contained rupture is when only the parasitic endocyst ruptures and the cyst contents are confined within the host-derived pericyst. When cyst contents escape via biliary or bronchial radicles that are incorporated in the pericyst, the rupture is communicating. Direct rupture occurs when both the endocyst and the pericyst tear, spilling cyst contents directly into the peritoneal or pleural cavities or occasionally into other structures. Communicating and direct forms have more serious clinical implications than contained rupture. Here we report a 21 year old nontraumatic, male patient with both contained and direct peritoneal rupture cysts presenting with acute abdominal finding. The clinical findings, diagnosis, and the treatment methods related to the petitoneal rupture were discussed.

Multipl kist hidatik ve nontravmatik multipl kist rüptürü

Hidatik kistin en sýk komplikasyonu kist rüptürüdür. Rüptür 3 baþlýk altýnda sýnýflanabilir: Kendi içine rüptürde, endokist rüptüre olup perikist saðlamdýr. Kist sývýsý endokist ile perikist arasýna girer, endokist kollabe olur. Baðlantýlý rüptürde, perikist bronþial veya safra yollarý ile iliþkili olduðunda endokist rüptüre olup, kist bilier sistem içine veya bronþial sistem içine açýlýr. Direkt rüptürde ise perikist ve endokist rüptüre olup, kist direkt periton boþluðuna veya plevral boþluða açýlmýþtýr. Baðlantýlý rüptür ve direkt rüptür, kendi içine rüptüre göre daha ciddi formlardýr. Biz akut batýn bulgularý ile baþvuran hem kendi içine hem de direkt peritoneal kist rüptürlü nontravmatik 21 yaþýnda erkek hastayý sunduk.Peritoneal rüptürle iliþkili klinik bulgular,teþhis ve tedavi metodlarýný tartýþtýk.