Abdominothoracic Fistulas due to Complicated Echinococcosis

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dc.authoridtarladacalisir, taner/0000-0003-0499-341X
dc.authoridkaramustafaoglu, yekta altemur/0000-0002-5491-1219
dc.authoridYORUK, YENER/0000-0001-6309-3054
dc.authorwosidYoruk, Yener/W-4285-2017
dc.authorwosidtarladacalisir, taner/HGE-7061-2022
dc.authorwosidkaramustafaoglu, yekta altemur/S-9512-2019
dc.contributor.authorKaramustafaoglu, Y. A.
dc.contributor.authorTarladacalisir, T.
dc.contributor.authorYoruk, Y.
dc.date.accessioned2024-06-12T11:15:54Z
dc.date.available2024-06-12T11:15:54Z
dc.date.issued2012
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPurpose Abdominothoracic fistulas are severe complications of hydatid disease. We report here on the results of surgical treatment of hydatid abdominopleural fistulas in 6 patients. Material and Methods Between 2004 and 2010, 6 patients with abdominothoracic fistulas (ATF) were treated. The patients were 3 men and 3 women (age range: 4762 years; median age: 57.1 years). The main symptoms were dyspnea, chest pain, cough, purulent sputum, high fever in 4 patients and additionally bilioptysis in 2. Fistulas were left abdominopulmonary in 1, hepatopulmonary in 2 and hepatopleural in 3 patients. Results Five patients were operated for ATF and 1 patient was treated with tube thoracostomy. In 4 patients, liver dome hydatid cyst abscesses were exposed through a right thoracophrenotomy, a first left thoracophrenotomy was performed in 1 patient followed by a second left lower lobectomy due to a destroyed lobe. Tube thoracostomy and percutaneous transhepatic drainage was applied successfully in Patient #5. All patients were discharged from hospital in good health. Our strategy consisted of adequate evacuation of the intrahepatic cyst with dissection and closure of the fistula via thoracophrenotomy. Discussion ATF due to hydatid cyst is uncommon. In rare cases ATF may be present at the abdominal, thoracic or diaphragmatic level. Thoracophrenotomy is the best surgical treatment for all three levels.en_US
dc.identifier.doi10.1055/s-0030-1270702
dc.identifier.endpage134en_US
dc.identifier.issn0171-6425
dc.identifier.issn1439-1902
dc.identifier.issue2en_US
dc.identifier.pmid21432753en_US
dc.identifier.scopus2-s2.0-84858377505en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage131en_US
dc.identifier.urihttps://doi.org/10.1055/s-0030-1270702
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24100
dc.identifier.volume60en_US
dc.identifier.wosWOS:000301971800010en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofThoracic And Cardiovascular Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSurgery Complicationsen_US
dc.subjectBronchial Disease (Includes Injury, Stenosis, Tumor Etc.)en_US
dc.subjectDiaphragmen_US
dc.subjectPleural Disease (Incl. Drainage)en_US
dc.subjectAbdominopleural Fistulaen_US
dc.subjectComplicationen_US
dc.subjectHydatid Cysten_US
dc.subjectBronchobiliary Fistulasen_US
dc.subjectHydatid-Diseaseen_US
dc.subjectThoracobiliary Fistulaen_US
dc.subjectLiveren_US
dc.subjectManagementen_US
dc.subjectPrinciplesen_US
dc.subjectThoraxen_US
dc.subjectCystsen_US
dc.subjectLungen_US
dc.titleAbdominothoracic Fistulas due to Complicated Echinococcosisen_US
dc.typeArticleen_US

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