CENTRAL HYDATID CYST OF THE LIVER FISTULIZED IN THE BILE DUCTS, DIFFICULT SURGICAL ACCESS AND THE CONTRIBUTION OF ENDOSCOPYA STUDY OF THREE CASES

Hepatic hydatid cyst is one of the common public health problems in Maghreb, remains a benign pathology, but its seriousness concerns complications, which are largely dominated by cystic rupture bile ducts.The aim this study to highlight difficulty surgical treatment hydatic cyst, localized central part liver and ruptured biliary ducts with place endoscopywe report cases three patients hepatic opening treated differently surgery endoscopy. Results: The radical conservative compared endoscopy procedure was technically more difficult efficient, at expense morbidities longer hospitalization period. Conclusion: Cysto-biliary fistula most frequent frightening complication gold standard methods. however, some locations such as make very dangerous open topic usefulness problem.