Intrabiliary rupture of hepatic hydatid cyst presenting as acute pancreatitis and treatment with endoscopic sphincterotomy: report of two cases

 
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Annals of Gastroenterology
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Intrabiliary rupture of hepatic hydatid cyst presenting as acute pancreatitis and treatment with endoscopic sphincterotomy: report of two cases (EN)

A. Iliadis, I. Tsavdaridis, I. Vasiliadis, B. Papaziogas, T. Katsinelos, A. Beltsis, G. Chatzimavroudis,

We describe the cases of two young patients, one 16 year – old male and one 21 year – old female, who presented acute pancreatitis as a complication of intrabiliary rupture of hepatic hydatid cysts. Both patients underwent diagnostic and therapeutic endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy and extraction of hydatid material from the common bile duct by balloon and basket catheters, which resulted in prompt resolution of pancreatitis. We were able to discharge both patients five days after the procedure. They were prescribed three cycles of albendazole and have since been free of symptoms for two and one years, respectively. There are 16 previous case reports in the international medical literature of acute pancreatitis as a complication of hepatic hydatid disease ruptured into the biliary tree, but only 3 reports of treatment with endoscopic sphincterotomy. This case study suggests that physicians should be aware of this entity in endemic areas, and it indicates that endoscopic sphincterotomy is safe and effective in the treatment of acute pancreatitis induced by intrabiliary rupture of hepatic hydatid disease. However, surgical resection remains the generally accepted method of radical treatment for hepatic hydatid disease. Key words: Hepatic hydatid disease, endoscopic sphincterotomy, acute pancreatitis. (EN)

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Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2007-03-19


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 18, No 3 (2005) (EN)



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