Liver Hydatid Cyst and Acute Cholangitis: a Case Report.
Amongst the cause of cystic hepatic disease, hydatid cyst is common in the Asia, South America, and Africa. The definitive therapy for hepatic hydatid disease is surgical resection. Rupture of the hydatid cyst into the biliary tree can lead to serious cholangitis. In this report, a 22-year-old man is presented with the signs and symptoms of obstructive jaundice and cholangitis. Ultrasonography reported dilated common bile duct (CBD) with sludge and stones, a hydatid cyst adjacent to the gall bladder and mild thickening of gallbladder wall without a stone. MRCP revealed dilated CBD with a cyst in segment fifth of liver. Due to signs and symptoms of obstructive jaundice in addition to lab data and imaging modalities, the ruptured hydatid cyst into a biliary tree was considered, and surgical intervention was performed to extract daughter vesicles from the CBD. Post intervention, signs and symptoms and cholestasis enzymes were subsided.
Department of General Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Behzad
B
Nemati Honar
Department of General Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Gholamhossein
G
Hayatollah
Department of General Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammadreza
M
Nikshoar
Department of Gastroentrology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mojgan
M
Forootan
Department of Radiology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ali Mohammad
AM
Feizi
D002761:Cholangitis / Q000469:parasitology*; D002779:Cholestasis / Q000469:parasitology*; D004444:Echinococcosis, Hepatic / Q000150:complications*; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D055815:Young Adult
Biliary obstruction; Cholangitis; Hydatid cyst