Skip to main content
Log in

Value of ERCP in the diagnosis and management of pre-and postoperative biliary complications in hydatid disease of the liver

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

Twenty-nine patients with symptomatic hydatid disease of the liver were evaluated preoperatively by endoscopic retrograde cholangiopancreatography (ERCP) in the years 1982–1987. In the same period, 6 patients who previously underwent surgery for the parasitic disease also underwent ERCP because of postoperative symptoms of biliary obstruction.

Findings at ERCP excluded biliary tract involvement in 11 cases. Positive findings were shown in 24 patients, including compression of the bile ducts in 4, small cysto-biliary communications in 5, intrabiliary rupture in 9, residual hydatid material in the common bile duct, and sclerosing cholangitis in 3.

Endoscopic removal of migrated hydatid debris was achieved in 8 patients, avoiding reoperation in 4.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ertan A, Sahin B, Kandilci U, Acikalin T, Cumhur T, Danisoglu V: The mechanism of cholestasis from hepatic hydatid cysts.J Clin Gastroenterol 5:437–440, 1983

    Google Scholar 

  2. Lewall DB, McCorkell SJ: Rupture of echinococcal cysts: diagnosis, classification and clinical implications.AJR 146:391–394, 1986

    Google Scholar 

  3. Testas P, Francois M: La rupture des kystes hydatiques du foie dans les voies biliaires extra-hepatiques.Chirurgie 109:122–125, 1983

    Google Scholar 

  4. Ovnat A, Peiser J, Avinoah E, Barki Y, Charuzi I: Acute cholangitis caused by ruptured hydatid cyst.Surgery 95:497–500, 1984

    Google Scholar 

  5. Langer JC, Rose D, Keystone JS, Taylor BR, Langer B: Diagnosis and management of hydatid disease of the liver. A 15-year North American experience.Ann Surg 199:412–417, 1984

    Google Scholar 

  6. Papadimitriou J, Tsiftis D, Tountas C: Hydatid cyst of the liver ruptured into the biliary tract.Curr Surg 17:339–346, 1983

    Google Scholar 

  7. Ennabli K, Saidi R: La mortalité post-operatoire des kystes hydatiques du foie.Lyon Chir 28:411–413, 1983

    Google Scholar 

  8. Cottone M, Amuso M, Cotton PB: Endoscopic retrograde cholangiopancreatography in hepatic hydatid disease.Br J Surg 65:107–108, 1978

    Google Scholar 

  9. Ibrahim MH, Kawanishi H: Endoscopic retrograde cholangiography in the evaluation of complicated echinococcosis of the liver.Gastrointest Endosc 27:20–22, 1981

    Google Scholar 

  10. Dyrszka H, Sanghavi B, Peddamatham K: Hepatic hydatid disease: findings on endoscopic retrograde cholangiography.Gastrointest Endosc 29:248–249, 1983

    Google Scholar 

  11. Moreira VF, Merono E, Simon MA: Endoscopic retrograde cholangiopancreatography and complicated hepatic hydatid cysts in the biliary tract.Endoscopy 16:124–126, 1984

    Google Scholar 

  12. Al Karawi M, Anwar H: Endoscopic removal of daughter echinococcus cysts from the CBD.Hepato-gastroenterol 32:296–298, 1985

    Google Scholar 

  13. Subramanyam B, Balthazar E, Naidich D: Ruptured hydatid cyst with biliary obstruction: diagnosis by sonography and computed tomography.Gastrointest Radiol 8:341–343, 1983

    Google Scholar 

  14. Bendib A, Bendib S, Benmamar L, Hansal M, Bendib M: Tomodensitometrie du kyste hydatique du foie: Semiologie et classification.J Radiol 66:367–375, 1985

    Google Scholar 

  15. Lygidakis NJ: Diagnosis and treatment of intrabiliary rupture of hydatid cyst of the liver.Arch Surg 118:1186–1189, 1983

    Google Scholar 

  16. Beggs I: The radiology of hydatid disease.AJR 145:639–648, 1985

    Google Scholar 

  17. Ponchon T, Bory R, Chavaillon A: Endoscopic retrograde cholangiography and sphincterotomy for complicated hepatic hydatid cysts.Endoscopy 19:174–177, 1987

    Google Scholar 

  18. Shemesh E, Klein E, Abramowich D, Pines A: Common bile duct obstruction caused by hydatid daughter cyst. Management by endoscopic retrograde spincterotomy.Am J Gastroenterol 81:280–282, 1986

    Google Scholar 

  19. Moreira VF, Merono E, Simon MA, Garcia T, Aguilera D, Ruiz del Arbol L, Garcia-Plaza A: Endoscopic retrograde cholangiopancreatography in Echinococcus (Hydatid) cysts of the liver.Gastrointest Radiol 10:123–128, 1985

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Magistrelli, P., Masetti, R., Coppola, R. et al. Value of ERCP in the diagnosis and management of pre-and postoperative biliary complications in hydatid disease of the liver. Gastrointest Radiol 14, 315–320 (1989). https://doi.org/10.1007/BF01889226

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01889226

Key words

Navigation