ENDOSCOPIC TREATMENT OF HYDATID CYST FISTULIZED IN THE BILE DUCTS

Introduction:

Hepatic hydatidosis is a common pathology in Morocco, where it is endemic and constitutes a real public health problem. It is a benign disease but may become serious by its complications including fistulisation in the bile ducts, where it poses management problems.

Materials and methods:

Video on endoscopic treatment of fistulized hydatid cysts in the bile ducts: MRM 50 years old Admitted to emergencies in an angiocholitis.

Antecedent: Operated in 1998 for liver hydatid (KHF)

Abdominal ultrasound: KHF Stage CE3b (WHO) stage III-IV of Gharbi, with dilatation of the intrahepatic bile ducts and the main bile duct (VBP) which is of echogenic content.

Abdominal CT: Thickned wall hydatid cyst with a cyst-biliary communication ERCP (endoscopic retrograde cholangiopancreatography) is performed (see video).

Results:

Complete solidification of hydatid liver cysts six months after endoscopic treatment.

Conclusion:

The rupture of the hydatid cyst in the bile ducts is an infectious complication, but the surgical management is not without risk. Endoscopic treatment represents an attractive and effective therapeutic option and finds its place in the therapeutic arsenal of this condition.