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Case Reports
. 2010 Aug;3(4):175-179.
doi: 10.4021/gr215e. Epub 2010 Jul 20.

Concomitant Rupture of Hydatid Cyst of Liver in Hepatic Duct and Gallbladder: Case Report

Imtiaz Wani  1 , Younis Bhat  1 , Naveed Khan  1 , Farooq Mir  2 , Saima Nanda  1 , Omar J Shah  1
Affiliations
Case Reports

Concomitant Rupture of Hydatid Cyst of Liver in Hepatic Duct and Gallbladder: Case Report

Imtiaz Wani et al. Gastroenterology Res. 2010 Aug.

Abstract

Hydatid cyst liver rupture into the biliary tree may involve the common hepatic duct, lobar biliary branches, the small intrahepatic bile ducts or rarely the gallbladder. Rupture can be occult or frank. A frank intrabiliary rupture of hepatic hydatid cyst is a rare but serious event. The authors are reporting a case of concomitant rupture of hydatid cyst of liver into right hepatic duct and the gallbladder. A 50-year-old female patient who presented with acute cholangitis was confirmed as a case of intrabilary rupture on ultrasonography, endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography. Rupture of hydatid cyst of liver in right hepatic and the gallbladder was confirmed on surgery. Suture repair of cystobiliary fistula, choledochoduodenostomy with cholecystectomy was done.

Keywords: Gallbladder; Hepatic duct; Hydatid; Rupture.

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Figures

Figure 1
Figure 1
Magnetic resonance cholangiopancreatography revealed 4.5 cm liver cyst in segment IV and V with internal echoes and irregular hyperintensities inside direct communication with right hepatic duct. Common bile duct was dilated with internal debris seen inside. Gallbladder was distended showing irregular linear intensities inside.
Figure 2
Figure 2
(A-C) A small fistula measuring 1 cm was seen between liver hydatid cyst and right hepatic duct and another which had fistula measuring 0.5 cm width of gallbladder.
See this image and copyright information in PMC

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