Hepatic Hydatid Cyst Complicated by Biliary Obstruction: A Case Report

TL;DR

A 35-year-old man was diagnosed with a liver hydatid cyst causing biliary blockage and was treated with medication and an endoscopic procedure.

Contribution

This case highlights the rare complication of biliary obstruction due to a hepatic hydatid cyst and its management.

Findings

The patient was successfully treated with albendazole and ERCP for biliary involvement.

Early diagnosis using imaging and serology is crucial for managing hydatid cyst complications.

Long-term monitoring is necessary to prevent recurrence of the disease.

Abstract

A 35-year-old male, previously healthy, presented with epigastric and right hypochondrial pain, as well as a change in urine color. The diagnosis of a hepatic hydatid cyst with complications was confirmed based on clinical findings, ultrasound, and serology. The patient was treated with albendazole and underwent an ERCP (endoscopic retrograde cholangiopancreatography) for biliary involvement. Hydatid cysts are caused by Echinococcus granulosus, transmitted through contact with infected animals or contaminated food. The disease can lead to severe complications such as biliary obstruction, jaundice, and anaphylaxis. Early diagnosis through imaging and serology is essential, while treatment often involves a combination of antiparasitic therapy and surgical or percutaneous procedures. Long-term monitoring is required to detect recurrence, which can occur years after treatment.

Figures