Endoscopic Retrograde Cholangiography (E.R.C.P.) and Complicated Hepatic Hydatid Cyst in the Biliary Tract

Endoscopy ◽  
1984 ◽  
Vol 16 (03) ◽  
pp. 124-126 ◽  
Author(s):  
V.F. Moreira Vicente ◽  
E. Meroño Garcia ◽  
M.A. Simon Marco
2007 ◽  
Vol 21 (4) ◽  
pp. 249-253 ◽  
Author(s):  
Andreas Manouras ◽  
Michael Genetzakis ◽  
Pantelis T Antonakis ◽  
Emmanuel Lagoudianakis ◽  
Michael Pattas ◽  
...  

Hydatid disease, although endemic mostly in sheep-farming countries, remains a public health issue worldwide, involving mainly the liver. Intrabiliary rupture is the most frequent complication of the hepatic hydatid cyst. Endoscopy is advocated, preoperatively, to alleviate obstructive jaundice caused by intracystic materials after a frank rupture and is also a useful and well-established adjunct in locating postoperative biliary fistulas.Endoscopic retrograde cholangiography with sphincterotomy has been successful as the sole and definitive means of treatment of intra-biliary ruptured hydatid cysts. A case of an elderly woman with frank rupture is presented, where the rupture was definitively managed endoscopically in conjunction with sphincterotomy to remove the intrabiliary obstructive daughter cysts and to achieve decontamination of the biliary tree.Endoscopic retrograde cholangiography provided an excellent diagnostic and therapeutic modality in the present case and, thus, it should be considered as definitive treatment in similar cases especially if surgical risk is anticipated to be high.


2020 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Hallal Mahmoud ◽  
◽  
Mroue Ahmad ◽  
Kayal Mira ◽  
◽  
...  

Hepatic hydatid cysts are benign cysts in the liver that are the result of parasites infection. They are caused by echinoccocus granulosis or multilocularis. They caused several symptoms like pain, obstructive jaundice, and sepsis. Hydatid cyst can be complicated to cystobiliary communication (CBC) which can be frank CBC or occult CBC. Medical, endoscopic, percutaneous and surgical treatments are different approaches to treat hydatid cyst. Here we report a case of hepatic hydatid cyst with cystobiliary communication, causing obstructive jaundice and treated with sphincterotomy and insertion of biliary stent through endoscopic retrograde cholangiopancreatography (ERCP).


2021 ◽  
Vol 24 (3) ◽  
pp. 149-152
Author(s):  
Seifeddine Baccouche ◽  
◽  
Mohamed Hajri ◽  
Sarraj Achref ◽  
Hammadi Ben Chaabene ◽  
...  

Introduction. Hydatid disease is a zoonosis caused by the tapeworm Echinococcus granulosus. The liver is the most commonly involved organ, followed by lungs. The most common complications of hepatic hydatid cyst are rupture into the biliary tract and secondary bacterial infection. However, rupture into the retroperitoneum and the abdominal wall muscles is exceptional. Case presentation. We describe an unusual case of a 27-year-old female who was referred to our department for right flank pain for four months. Abdominal ultrasound and CT scan revealed a huge hydatid cyst in liver segment VI fistulizing to the retroperitoneum and the lateral and posterior abdominal wall muscles, causing anterior displacement of the right kidney, with two other cysts in segment II and VIII. Surgery was performed associated with perioperative antiparasitic chemotherapy. The cysts were unroofed and a resection of the protruding domes was performed. The hydatid material in the retroperitoneum and the muscles were completely evacuated by aspiration. Follow-up showed no recurrence. Discussion. Hepatic hydatid cyst rupture usually occurs into biliary tract, pleural cavity, bronchial tree and intraperitoneal cavity. Rupture into the retroperitoneum and the lateral and posterior abdominal wall muscles is exceptional. To our knowledge, this complication has never been documented before. The hydatid disease may involve insidiously for a long time to lead to such a complication. Surgery was inevitable in our case. It allowed to treat both the hydatid cyst and its complication. Conclusions. A rupture into the retroperitoneum and the abdominal wall muscles as a complication of a liver hydatid cyst is exceptional. In this presentation, we noticed that hydatid cysts can reach an extremely large size while remaining for a long time asymptomatic. We aim to highlight the significance of preventive measures and public health education to fight against the hydatid disease in endemic areas.


2012 ◽  
Vol 45 (6) ◽  
pp. 774-776 ◽  
Author(s):  
Pedro Silva Vaz ◽  
Eduardo Pereira ◽  
Sergiu Usurelu ◽  
Ana Monteiro ◽  
Ana Caldeira ◽  
...  

Echinococcosis/hydatidosis is common in societies where agriculture and livestock are frequent, and represents a public health problem. The therapeutic management depends on the cyst's characteristics, the patient, and surgical contraindications. Endoscopic retrograde cholangiopancreatography is a valuable tool in the diagnosis and treatment of complicated hepatic hydatid disease. Ultrasonography is a useful diagnostic, therapeutic and follow-up tool. The authors report a case of a 56 years old patient who was diagnosed with a hepatic hydatid cyst in the IVa/VIII segments, describe the therapeutic options and 50 months of disease-free follow-up.


1995 ◽  
Vol 23 (4) ◽  
pp. 259-262 ◽  
Author(s):  
Blanca Vargas-Serrano ◽  
Rafael Rodriguez-Romero ◽  
Ana Coarasa-Cerdan

HPB ◽  
2017 ◽  
Vol 19 ◽  
pp. S187
Author(s):  
B. Meliani ◽  
R. Ouzine ◽  
M. Leboukh ◽  
Z.E. Selmani ◽  
R. Koudjeti

1992 ◽  
Vol 9 (6) ◽  
pp. 329-331 ◽  
Author(s):  
Ozgur Yagmur ◽  
Orhan Demircan ◽  
Erol Atilla ◽  
Ali Alparslan ◽  
Mustafa Demirtas

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