Abstract
Fistulised hydatid cysts in the bile ducts represent the most serious complication of this benign disease. This is a retrospective study reporting five (05) cases out of twenty-four (24) patients, i.e. 20.83%, treated over a period of four (04) years for fistulised hydatid cysts in the bile ducts in our hospital (Gastroenterology and Visceral Surgery) at the Moulay Ismail Military Hospital in Meknes, Morocco, from 1 January 2018 to 31 December 2021. There were 03 men and 02 women (sex ratio: 1.5). The mean age was 50 years, with extremes ranging from 35 to 66 years. The clinic was dominated by pain in the right hypochondrium and cholestatic jaundice in all patients (100%). Hydatid serology was positive in all patients (100%). Medical imaging enabled us to make the diagnosis. The right liver was the most affected, i.e. 60% of patients. Endoscopic retrograde cholangio-pancreatography with endoscopic sphincterotomy (extraction of the membranes) followed by surgery (resection of the protruding dome, simple direct suture of the fistulae using 2/0 Vicryl X-stitches, followed by padding of the residual cavity and drainage of the cystic cavity) were our main methods of treatment.
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