Complicated hepatic hydatid cyst with simultaneous biliary tree and intraperitoneal rupture: can we treat it in a minimally invasive way?
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.
Gastroenterology Division (Georgios Germanidis, Konstantinos Mantzoukis, Konstantinos Vasiliou).
Georgios
G
Germanidis
Gastroenterology Division (Georgios Germanidis, Konstantinos Mantzoukis, Konstantinos Vasiliou).
Konstantinos
K
Mantzoukis
Radiology Department (Tasos Kelekis), Aristotle University of Thessaloniki Medical School.
Tasos
T
Kelekis
1st Department of Internal Medicine (Eleni Doumaki, Ioannis Kokinakis, Pantelis Zebekakis, Pavlos Nikolaidis);
Eleni
E
Doumaki
Gastroenterology Division (Georgios Germanidis, Konstantinos Mantzoukis, Konstantinos Vasiliou).
Konstantinos
K
Vasiliou
1st Department of Internal Medicine (Eleni Doumaki, Ioannis Kokinakis, Pantelis Zebekakis, Pavlos Nikolaidis);
Ioannis
I
Kokinakis
1st Department of Internal Medicine (Eleni Doumaki, Ioannis Kokinakis, Pantelis Zebekakis, Pavlos Nikolaidis);
Pantelis
P
Zebekakis
1st Department of Internal Medicine (Eleni Doumaki, Ioannis Kokinakis, Pantelis Zebekakis, Pavlos Nikolaidis);
Pavlos
P
Nikolaidis
ERCP; cholangitis; complicated hydatid cyst; drainage