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Updated: Oct 25, 2025

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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[Liver hydatidosis causing obstructive cholangitis : a case report].

S Basbous1, M P Hayette2,3, P Léonard2,4

  • 1Département de Gastro-Entérologie, CHU Liège, Liège Université, Belgique.

Revue Medicale De Liege
|August 6, 2021
PubMed
Summary
This summary is machine-generated.

A ruptured hydatid cyst caused obstructive cholangitis (bile duct obstruction) in a patient. Prompt diagnosis and endoscopic retrograde cholangiopancreatography treatment were successful for this rare cause of jaundice.

Keywords:
Echinococcus granulosusLiver surgeryObstructive cholangitisRuptured hydatid cystCholangiohydatidosis

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Area of Science:

  • Hepatology
  • Parasitology
  • Gastroenterology

Background:

  • Cystic echinococcosis is a parasitic infection often asymptomatic for years.
  • Complications arise from cyst rupture, including biliary obstruction (cholangio-hydatidosis).
  • This condition is more prevalent in endemic regions than in Western Europe.

Observation:

  • A 41-year-old Algerian patient presented with obstructive cholangitis.
  • The cause was identified as a ruptured hydatid cyst obstructing the common bile duct.
  • The patient experienced jaundice due to the bile duct obstruction.

Findings:

  • Diagnosis of cystic echinococcosis was confirmed.
  • Endoscopic retrograde cholangiopancreatography (ERCP) was employed for treatment.
  • Successful resolution of the obstructive cholangitis was achieved.

Implications:

  • Early identification and management of ruptured hydatid cysts are crucial due to high mortality.
  • ERCP can be an effective treatment for cholangio-hydatidosis.
  • Highlights the importance of considering parasitic infections in unexplained biliary obstruction, especially in travelers from endemic areas.