title: Acute pancreatitis complicating intrabiliary rupture of liver hydatid cyst.
abstract: Acute pancreatitis is a rare complication of hydatidosis, and the successful use of endoscopic sphincterotomy in the treatment of pancreatitis complicating ruptured hydatid cyst has been very rarely reported.We report here a case of a 50-year-old man, known to have hydatid cyst of the liver, who presented with upper abdominal pain. Amylase and lipase were elevated and echinococcus serology was positive. Abdominal CT scan showed a cystic lesion in the right lobe of the liver and a diffusely swollen pancreas with indurations around it. At endoscopic retrograde cholangiopancreatography (ERCP) the common bile duct was dilated. A sphincterotomy was performed and a mucoid structure was extracted, after which the patient made an uneventful recovery.
authors.affiliation: Department of Internal Medicine, Meander Medical Center, De Ganskuijl 73B, 3817 EX Amersfoort, The Netherlands.
authors.forename: Abdulbaqi A.
authors.initials: AA
authors.lastname: Al-Toma
authors.forename: Reinoud J.
authors.initials: RJ
authors.lastname: Vermeijden
authors.forename: Albert
authors.initials: A
authors.lastname: Van De Wiel