A rare case of hepatic hydatid cyst with cystobiliary communication causing obstructive jaundice

Abstract

Hepatic hydatid cysts remain common in certain regions, including Southeast Asia. Among the complications, intrabiliary rupture and cystobiliary communication (CBC) are rare and challenging to detect through imaging. These complications are associated with higher post-operative mortality and morbidity. Here, we present a case of a 52-year-old male with acute abdominal pain and jaundice, diagnosed with a ruptured hepatic hydatid cyst with CBC and daughter cysts causing obstructive jaundice. Surgical intervention involved laparotomy, de-roofing, partial capitonnage, omentoplasty, and primary closure of the CBC.