Hydatid Disease of liver communicating with common bile duct managed by ERCP - A case report

Anurag Jha,Prem Khadga,Rahul Pathak,Sashi Sharma

doi:10.3126/jaim.v5i2.17352

Anurag Jha, Prem Khadga + Show 2 more

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https://doi.org/10.3126/jaim.v5i2.17352

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Abstract

Cystic hepatic disease is common in Asia, South America and Africa. Rupture of the hydatid cyst into the biliary tree can lead to serious cholangitis. In this report, a 53-year-old lady presented with the signs and symptoms of obstructive jaundice and cholangitis. Ultrasonography reported dilated common bile duct(CBD) with sludge and hydatid cysts in the liver. CECT revealed large cysts with enhancing thin wall in left and right lobe of liver with communicating into CBD and right IHBD respectively and features of obstructive biliopathy. Due to signs and symptoms of obstructive jaundice in addition to lab data and imaging modalities, ruptured hydatid cyst into the biliary tree was considered, and ERCP intervention was performed, after endoscopic sphincterotomy , membranes of the cysts were extracted. Post intervention, signs and symptoms and cholestasis enzymes subsided.Journal of Advances in Internal Medicine Vol.5(2) 2016: 38-40

Highlights

INTRODUCTIONCalled hepatic hydatid cyst (HHC) is common in the Middle East, India, Nepal and Africa
Hepatic echinococcosis, called hepatic hydatid cyst (HHC) is common in the Middle East, India, Nepal and Africa
Hepatic hydatid disease usually is asymptomatic and after a long asymptomatic course become symptomatic in an unknown percentage of patients

Summary

INTRODUCTION

Called hepatic hydatid cyst (HHC) is common in the Middle East, India, Nepal and Africa. Humans are an accidental intermediate host of the infection.(2) HHC is a slow developmental parasite which has various pathological lesions, responsible for different clinical pictures. The aim of the treatment is to eliminate the parasite, and to tackle the problem of the residual cavity and any other associated complications .(3) The main complications of HHC are infection of the cyst, liver abscess, and rupture into either the peritoneum, biliary tree or pleural cavity, lung or pericardium. Intrabiliary rupture of HHC is the most common and grave complication, occurring in 2%-42% of cases (5Dolay)

CASE REPORT

DISCUSSION