ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN RUPTURED LIVER HYDATID CYST

Aims We retrospectively reviewed the effectiveness of endoscopic treatment ofruptured hydatid cyst into intrahepatic bile ducts.

Methods It's retrospective study reporting cases of hydatid cyst ruptured in the bile duct over a period of 17 years and having benefited from endoscopic treatment.

Results 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 find- ings 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 17 years. Nine of 20 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=8) ; Dormia basket( n=5) or biliary drainage (nasobiliary drainage ( n=1) ; biliary stenting ( n=1). The fistula healed in 80% of patients with a median time of 6 weeks [range, 1–12] after endoscopic treatment.

Conclusions ERCP was an effective method of treatment for hepatic hydatid cyst with biliary fistula.

Publication History

Article published online:
14 April 2022