Endoscopic retrograde cholangiopancreatography in ruptured liver hydatid cyst

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
Mohamed BorahmaAbdellah Essaid

Abstract

One of the most common and serious complications of hepatic hydatid cyst disease is communication between the cyst and the biliary tree. Surgical management of biliary fistula is associated with high morbidity and mortality. We retrospectively reviewed the effectiveness of endoscopic treatment of ruptured hydatid cyst into intrahepatic bile ducts. Diagnosis of intrabiliary rupture of hydatid cyst was mostly suspected by acute cholangitis, jaundice, pain, and/or persistent external biliary fistula after surgery. The diagnosis was confirmed by radiology and endoscopic retrograde cholangiopancreatography (ERCP) findings. We retrospectively reviewed clinical, laboratory, imagery, and ERCP findings for all patients. The therapeutic methods performed were endoscopic sphincterotomy, extraction by balloon or Dormia basket, stenting, or nasobiliary drainage. Sixteen patients with ruptured hepatic hydatid cyst into bile ducts were seen in 9 years. Nine of 16 patients had a surgical history of hepatic hydatid cyst and three patients had a percutanous treatment history. We carried out ERCP with sphincterotomy and extraction of hydatid materials (extraction balloon n = 11; Dormia basket n = 5) or biliary drainage (nasobiliary drainage n = 1...Continue Reading

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Citations

May 25, 2016·Surgery·Amine BenkabbouAmine Souadka
Sep 22, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Bahtiyar MuhammedoğluSüleyman Köktaş
Sep 28, 2021·Endoscopy·Mohamed BorahmaFatima Zahra Ajana

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