Hydatid Disease of liver communicating with common bile duct managed by ERCP - A case report

  • Anurag Jha Department of Gastoenterology, Institute of Medicine, Tribhuvan University, Kathmandu
  • Rahul Pathak Department of Gastoenterology, Institute of Medicine, Tribhuvan University, Kathmandu
  • Sashi Sharma Department of Gastoenterology, Institute of Medicine, Tribhuvan University, Kathmandu
  • Prem Khadga Department of Gastoenterology, Institute of Medicine, Tribhuvan University, Kathmandu
Keywords: Cholangitis, Hydatid cysts, Biliary Obstruction, ERCP

Abstract

Cystic hepatic disease is common in Asia, South America and Africa. Rupture of the hydatid cyst into the biliary tree can lead to serious cholangitis. In this report, a 53-year-old lady presented with the signs and symptoms of obstructive jaundice and cholangitis. Ultrasonography reported dilated common bile duct(CBD) with sludge and hydatid cysts in the liver. CECT revealed large cysts with enhancing thin wall in left and right lobe of liver with communicating into CBD and right IHBD respectively and features of obstructive biliopathy. Due to signs and symptoms of obstructive jaundice in addition to lab data and imaging modalities, ruptured hydatid cyst into the biliary tree was considered, and ERCP intervention was performed, after  endoscopic sphincterotomy , membranes of the cysts were extracted. Post intervention, signs and symptoms and cholestasis enzymes subsided.

Journal of Advances in Internal Medicine Vol.5(2) 2016: 38-40

Downloads

Download data is not yet available.
Abstract
702
PDF
362
Published
2017-05-26
How to Cite
Jha, A., Pathak, R., Sharma, S., & Khadga, P. (2017). Hydatid Disease of liver communicating with common bile duct managed by ERCP - A case report. Journal of Advances in Internal Medicine, 5(2), 38-40. https://doi.org/10.3126/jaim.v5i2.17352
Section
Case Reports