MANAGEMENT OF CHOLANGIOHYDATIDOSIS WITH ENDOSCOPIC RETROGRADE CHOLANGIOGRAPHY

Abstract

A serious complication of hepatic hydatid disease is intrabiliary rupture (IBR). We present a 19-year-old male patient with acute cholangitis. His abdominal ultrasound (US) revealed multiple liver cystic lesions, two of which large and partially collapsed, and impaction of membranes into common bile duct. Endoscopic biliary drainage resulted in significantly improved patient’s condition, with control US disclosing complete evacuation of one of the large collapsed liver cysts. Endoscopic retrograde cholangiopancreatography as a minimally invasive procedure has become preferred approach of IBR management, with remarkable success rates, and additional advantage of permitting elective surgery, associated with decreased morbidity and mortality.