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Updated: Aug 8, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Giant hepatic hydatid cyst as a cause of small bowel obstruction
Luigi Sandonato1, Calogero Cipolla, Sergio Li Petri
1Department of Oncology, Division of General and Oncological Surgery, University of Palermo, Interdepartmental Unit for Hepatic Neoplasia Group, Palermo, Italy.
Abstract:
Today, giant hydatid cysts are fairly rare even in endemic areas. We describe a case of an extremely large hydatid cyst of the liver that was causing massive compression of the neighboring organs, giving rise to a subocclusive syndrome of the intestine. After considering the various approaches available for the treatment of this disease, it was decided that radical surgery was still the best therapeutic choice, especially when extremely large cysts are involved. In particular, in clinical situations where it is difficult to perform radical surgical procedures, less aggressive surgery followed by drug treatment should be the treatment of choice.
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