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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
Summary
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.
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.
Keywords:
Echinococcus granulosusLiver surgeryObstructive cholangitisRuptured hydatid cystCholangiohydatidosisMore Related Videos
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