Endoscopic retrograde cholangiopancreatography in

Authors: Mohamed Borahma Rajaa Afifi Imane Benelbarhdadi Fatima Zahra Ajana Wafaa Essamri Abdellah Essaid

Publish Date: 2015/09/08

Volume: 34, Issue: 4, Pages: 330-334

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Abstract

One of the most common and serious complications of hepatic hydatid cyst disease is communication between the cyst and the biliary tree Surgical management of biliary fistula is associated with high morbidity and mortality We retrospectively reviewed the effectiveness of endoscopic treatment of ruptured hydatid cyst into intrahepatic bile ducts Diagnosis of intrabiliary rupture of hydatid cyst was mostly suspected by acute cholangitis jaundice pain and/or persistent external biliary fistula after surgery The diagnosis was confirmed by radiology and endoscopic retrograde cholangiopancreatography ERCP findings We retrospectively reviewed clinical laboratory imagery and ERCP findings for all patients The therapeutic methods performed were endoscopic sphincterotomy extraction by balloon or Dormia basket stenting or nasobiliary drainage Sixteen patients with ruptured hepatic hydatid cyst into bile ducts were seen in 9 years Nine of 16 patients had a surgical history of hepatic hydatid cyst and three patients had a percutanous treatment history We carried out ERCP with sphincterotomy and extraction of hydatid materials extraction balloon n = 11 Dormia basket n = 5 or biliary drainage nasobiliary drainage n = 1 biliary stenting n = 1 The fistula healed in 80  of patients with a median time of 6 weeks range 1–12 after endoscopic treatment ERCP was an effective method of treatment for hepatic hydatid cyst with biliary fistula

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