Complicated hepatic hydatid cyst with simultaneous biliary tree and intraperitoneal rupture: can we treat it in a minimally invasive way?
نویسندگان
چکیده
We report a case of complicated liver hydatid cyst with biliary system communication, cholangitis, and having at the same time simultaneous free intraperitoneal rupture. This very rare case was treated successfully by a minimally invasive method, namely ERCP, large sphincterotomy and bile duct decompression by cysts and membranes, percutaneous radiologic subdiaphragmatic drainage and prolonged medical treatment with albendazole. Our patient, an 87-year-old lady, was considered unfit for open or laparoscopic surgery because of her poor general condition, although surgery represents the common practice in such cases.
منابع مشابه
Rupture of Right Hepatic Duct into Hydatid Cyst
Echinococcal disease can develop anywhere in the human body. The liver represents its most frequent location. Hepatic hydatid cysts may rupture into the biliary tract, thorax, peritoneum, viscera, digestive tract or skin. We report a rare case with rupture of the right hepatic duct into a hydatid cyst in a woman with known hydatid disease and choledocholithiasis. The increased intra-luminal pre...
متن کاملBiliary peritonitis due to “fallen” hydatid cyst after abdominal trauma
Hepatic hydatid cysts may cause serious complications. Intraperitoneal rupture of hepatic hydatid cyst is rarely seen and the prognosis can be fatal. By experience, we know that it might be difficult to diagnose an unruptured cyst expulsed into the peritoneal cavity. In this report, we present the case of a 54-year-old man with an intraperitoneal cystic mass of 10 cm of diameter which had extru...
متن کاملSpontaneous intraperitoneal rupture of hepatic hydatid cyst with biliary peritonitis: a case report
INTRODUCTION Spontaneous intraperitoneal rupture with biliary peritonitis in a case of hepatic hydatid cyst is extremely rare but serious complication. It is a surgical emergency with high morbidity and mortality rates. Very few cases have been reported in the literature. CASE PRESENTATION We report an unusual case of a biliary peritonitis due to spontaneous rupture of hepatic hydatid cyst in...
متن کاملConservative management of asymptomatic hepatic hydatid cyst in pregnancy: our experience in seven patients
Introduction: To present our experience about the safety of conservative management in asymptomatic and non-complicated hepatic hydatid cyst in pregnancy. Methods: Seven pregnant patients with hepatic hydatid cysts as an incidental finding in routine obstetrical ultrasonography were referred to our center during 2001 to 2008. Three patients were visited in the second and the rest i...
متن کاملConcomitant Rupture of Hydatid Cyst of Liver in Hepatic Duct and Gallbladder: Case Report
Hydatid cyst liver rupture into the biliary tree may involve the common hepatic duct, lobar biliary branches, the small intrahepatic bile ducts or rarely the gallbladder. Rupture can be occult or frank. A frank intrabiliary rupture of hepatic hydatid cyst is a rare but serious event. The authors are reporting a case of concomitant rupture of hydatid cyst of liver into right hepatic duct and the...
متن کامل