title: Percutaneous transhepatic endobiliary drainage of hepatic hydatid cyst with rupture into the biliary system: an unusual route for drainage.
abstract: The most common and serious complication of hydatid cyst of the liver is rupture into the biliary tract causing obstructive jaundice, cholangitis and abscess. The traditional treatment of biliary-cystic fistula is surgery and recently endoscopic sphincterotomy. We report a case of complex heterogeneous cyst rupture into the biliary tract causing biliary obstruction in which the obstruction and cyst were treated successfully by percutaneous transhepatic endobiliary drainage. Our case is the second report of percutaneous transbiliary internal drainage of hydatid cyst with rupture into the biliary duct in which the puncture and drainage were not performed through the cyst cavity.
authors.affiliation: Cukurova University, Faculty of Medicine, Department of Radiology, Balcali Hospital 01330, Adana, Turkey. minal@mail.cu.edu.tr
authors.forename: Mehmet
authors.initials: M
authors.lastname: Inal
authors.forename: Süreyya
authors.initials: S
authors.lastname: Soyupak
authors.forename: Erol
authors.initials: E
authors.lastname: Akgül
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Ezici
mesh_terms: D002779:Cholestasis / Q000209:etiology* / Q000628:therapy*; D004322:Drainage / Q000379:methods*; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous