Hydatid Cyst Complicated by Dilated Bile Duct Treated with Endoscopic Retrograde Cholangiopancreatography (ERCP): A Case Report
DOI:
https://doi.org/10.5195/ijms.2025.2517Keywords:
Cholangiopancreatography Endoscopic Retrograde, Echinococcosis, Common Bile DuctAbstract
Background: Echinococcosis, primarily caused by Echinococcus granulosus, frequently leads to the formation of hydatid cysts in various organs, particularly the liver and lungs. In rare instances, these cysts can rupture into the biliary tract, resulting in complications such as dilation of the Common Bile Duct (CBD) and obstructive jaundice. This study aims to document a rare case of CBD dilation due to the rupture of a hydatid cyst, highlighting the need for tailored diagnostic and therapeutic approaches for this unusual presentation.
The Case: A 37-year-old male patient presented with abdominal pain, anorexia, and jaundice. Abdominal ultrasonography and computed tomography (CT) scans identified multiple hydatid cysts in the liver, with one ruptured cyst extending into the CBD. An endoscopic retrograde cholangiopancreatography (ERCP) was performed to remove the hydatid cyst membranes, followed by the placement of a stent and irrigation of the biliary ducts. Surgical excision of remaining liver cysts was subsequently conducted. The use of ERCP allowed effective removal of cystic material from the biliary tract, reducing CBD obstruction and alleviating jaundice symptoms. Surgical intervention further ensured the complete removal of hydatid cysts.
Conclusion: This case highlights that Endoscopic Retrograde Cholangiopancreatography (ERCP) is an effective diagnostic and therapeutic tool for managing biliary complications associated with hydatid disease, particularly the dilation of the Common Bile Duct (CBD). The combination of ERCP with surgical intervention resulted in optimal outcomes for this patient, who presented an uncommon manifestation of echinococcosis.
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