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[Obstructive jaundice caused by hydatid cyst rupture in main bile duct]
G Giordano1, P Ialongo, M Amoruso
1Facoltà di Medicina e Chirurgia, Università degli Studi di Bari.
Annali Italiani Di Chirurgia
|February 29, 2000
Summary
Rupture of a hydatid cyst into the bile duct is a serious complication. Surgical intervention, including pericystectomy and bile duct lavage, is effective for treating this condition.
Area of Science:
- Hepatobiliary Surgery
- Parasitology
- Gastroenterology
Background:
- Hydatid disease can lead to complications such as hepatic cyst rupture into the biliary tree.
- Rupture into the common bile duct occurs in 7-9% of cases, often presenting with jaundice, fever, and abdominal pain.
Observation:
- A 50-year-old male presented with symptoms indicative of biliary obstruction.
- Imaging revealed a hydatid cyst with daughter cysts in the left liver and biliary tree dilatation.
- Laboratory tests showed elevated liver function tests, VES, and leukocytosis.
Findings:
- The patient underwent successful surgical treatment, including total pericystectomy, cholecystectomy, and common bile duct exploration with lavage.
- Postoperative management involved Kehr drainage and abdominal drains.
- The patient was discharged after 15 days of hospitalization.
Implications:
- Total pericystectomy is the preferred surgical treatment for hydatid cysts when feasible.
- Surgical management must address biliary communication, with ERCP playing a crucial role in diagnosis and treatment.
- Prompt surgical intervention is vital for managing hydatid cyst rupture into the bile duct.