Intrabiliary rupture of hepatic hydatid cyst

Frank intrabiliary rupture of hepatic hydatid cysts is not uncommon in Iraq. Thirteen patients have been studied and three types of presentations described: i) typical, a patient with known hydatid cyst of the liver presents with pain, fever and jaundice; ii) asymptomatic, in a patient with hepatic hydatid cyst; and iii) atypical, simulating cholelithiasis, liver abscess, peritonitis, hepatitis and persistent biliary fistula.