ACUTE PARASITIC PURULENT CHOLANGITIS IN PATIENTS WITH ECHINOCOCCOSIS OF THE LIVER

Abstract

Aim. To improve treatment result of patients with liver echinococcosis, complicated by mechanical jaundice of parasitic origin and parasitic cholangitis. Material and methods. The paper observes the treatment outcomes of 19 patients. Laboratory blood tests along with endotoxemia signs, x-ray methods, and endoscopic methods were used to find the diagnosis of parasitic cholangitis. Results and discussion. Patients received two staged treatment. On a first stage, endoscopic decompression and sanation of the biliary tract or echo-controlled decompression of the common bile duct were performed. On the second stage, various options of the operation were considered. All 19 patients were discharged after 1,5-2 months after minimally invasive surgeries in the safe period with positive immediate and long term outcomes. Radical operations were performed in 8 cases and palliative - open echinococcectomy in 11 cases. Conclusion. Two-stage treatment in the case of mechanical parasitic jaundice complicated by parasitic cholangitis is reasonable according to pathogenesis.