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Endoscopic and Surgical Management of Intrabiliary Rupture of Hydatid Liver Cyst
Author(s) -
Sebastian Leong,
YoungIn Kim,
Robin R. Gray,
Paul Kortan,
Gregory Haber
Publication year - 1992
Publication title -
canadian journal of gastroenterology
Language(s) - English
Resource type - Journals
eISSN - 1916-7237
pISSN - 0835-7900
DOI - 10.1155/1992/760296
Subject(s) - medicine , hydatid cyst , cholangiography , surgery , jaundice , catheter , cholestasis , biliary tract , endoscopic retrograde cholangiopancreatography , echinococcosis , cyst , radiology , general surgery , gastroenterology , pancreatitis
A man with hydatid disease complicated by intraabdominal cyst rupture 15 years earlier, presented with cholestatic jaundice. There was intrabiliary rupture of a hydatid liver cyst on endoscopic retrograde cholangiography. Sphincterotomy was performed allow clearance of hydatid material obstructing the bile ducts and insertion of a nasobiliary catheter for irrigation and drainage. Definitive surgery was performed. While endoscopic management is gaining recognition for relieving biliary obstruction in hydatid cystobiliary rupture, surgery is still required for patients who continue to pass hydatid debris obstructing the biliary tree and increasing the risk of cholangitis

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