Rupture of Right Hepatic Duct into Hydatid Cyst.
10.3346/jkms.2012.27.8.953
- Author:
Nickolaos MICHALOPOULOS
1
;
Styliani LASKOU
;
Theodossis S PAPAVRAMIDIS
;
Ioannis PLIAKOS
;
Eustathios KOTIDIS
;
Isaak KESISOGLOU
;
Spiros T PAPAVRAMIDIS
Author Information
1. 3rd Department of Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece. nickos.michalopoulos@gmail.com
- Publication Type:Case Reports
- Keywords:
Hydatid Disease;
Cholelithiasis;
Echinococcal Cyst Rupture;
Cystobiliary Fistula
- MeSH:
Bilirubin/blood;
Cholangiopancreatography, Magnetic Resonance;
Cholecystectomy;
Choledocholithiasis/complications/diagnosis;
Common Bile Duct/surgery;
Echinococcosis, Hepatic/complications/*diagnosis/surgery;
Female;
Gallstones/complications/diagnosis;
Hepatic Duct, Common/*surgery;
Humans;
Jaundice, Obstructive/complications/diagnosis;
Middle Aged;
Rupture;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2012;27(8):953-956
- CountryRepublic of Korea
- Language:English
-
Abstract:
Echinococcal disease can develop anywhere in the human body. The liver represents its most frequent location. Hepatic hydatid cysts may rupture into the biliary tract, thorax, peritoneum, viscera, digestive tract or skin. We report a rare case with rupture of the right hepatic duct into a hydatid cyst in a woman with known hydatid disease and choledocholithiasis. The increased intra-luminal pressure in the biliary tree caused the rupture into the adjacent hydatid cyst. The creation of the fistula between the right hepatic duct and the hydatid cyst decompressed the biliary tree, decreased the bilirubin levels and offered a temporary resolution of the obstructive jaundice. Rupture of a hydatid cyst into the biliary tree usually leads to biliary colic, cholangitis and jaundice. However, in case of obstructive jaundice due to choledocholithiasis, it is possible that the cyst may rupture by other way around while offering the patient a temporary relief from his symptoms.
