జీర్ణకోశ & జీర్ణ వ్యవస్థ

నైరూప్య

Resolution of Hepatic Hydatid Cyst with Biliary Communication with ERCP

Sanjay Kumar Somani and Amit Prakash Srivastava

Background: Hydatid cyst of the liver may be complicated by spontaneous rupture into the biliary tract with biliary obstruction.

Methods: ERCP of hydatid cyst liver with biliary communication was done and bile duct cleared and cyst was assessed for resolution.

Results: A 56 year lady who had jaundice, right upper abdomen pain and cholangitis was diagnosed to have hydatid cyst of liver with biliary obstruction and membranes in common bile duct. ERCP was performed and bile duct membranes were extracted and duct was cleared. Her jaundice, fever and abdominal pain resolved and the repeat CT scan abdomen also showed resolution of the liver hydatid cyst.

Conclusion: Hepatic hydatid cyst with biliary communication may drain off and resolve completely after ERCP clearance of bile duct.