Intrabiliary rupture of hydatid cyst of liver is a complication of hydatid disease. The authors report the case of a patient surgically treated by total pericistectomy and suture communication with biliary system, the best treatment for this condition.

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Background: Intrabiliary rupture (IBR) is one of the most common complications of hepatic hydatid cysts (HHC),and the surgical treatment of major intrabiliary rupture (MIBR) leads to serious morbidity and mortality. This study aimed to evaluate the efficacy of endoscopic definitive treatment of these patients.

Methods: This study included 38 patients who underwent ERCP for MIBR between 2004 and 2022.

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Intrabiliary Rupture of a Hepatic Hydatid Cyst: A Case Report.

Am J Case Rep

May 2024

Department of General and Digestive Surgery, University Hospital Fattouma Bourguiba of Monastir, University of Monastir, Monastir, Tunisia.

BACKGROUND Hydatid disease is a common parasitic infection in many areas of Asia, South America, and Africa. It can affect any organ, most commonly the liver. The hydatid is often asymptomatic and the diagnosis is made when complications arise.

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Key Clinical Message: Hydatid cysts, primarily found in the liver (70%), are caused by parasitic infections and can lead to severe complications such as cyst rupture. This case report describes a unique instance of a hydatid liver cyst occupying the right lobe with a communicating part with the biliary tree that ruptured showing a concurrent superinfection.

Abstract: Hydatid cysts are a clinical pathology resulting from parasitic infections.

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Article Synopsis
  • * A case study details a 60-year-old man suffering from upper abdominal pain and vomiting (but no jaundice), who was found to have a left lobe hepatic hydatid cyst with IBR.
  • * The patient underwent a left hepatectomy with bile duct exploration, emphasizing that while the disease is usually benign, severe cases may require significant surgical intervention.
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