Intrabiliary rupture of hepatic hydatid cyst with impacted hydatid membranes at ampulla of Vater presenting as acute pancreatitis

Chaudhary, Alka; Ac, Upadhyaya; Vv, Kankanala; Kumar, Abdhesh; Joshi, Nitin; Kumar, M. S. A.; Harwani, Yogesh; Rp, Choudeswari

doi:10.7869/tg.2012.93

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…3 -9 The proposed mechanism of pancreatitis is impaction of cystic debris (membranes and scolices) in the ampulla of Vater and pancreatic duct; alternatively, the pancreatitis may be an allergic response to echinococcal antigens in the papilla. 6 Several groups have described endoscopic treatment of cystobiliary communication with sphincterotomy, 2 , 10 , 11 although most published cases of echinococcus-related pancreatitis reported that patients ultimately underwent open surgical treatment with either liver resection or cyst fenestration and evacuation. This report is the first to simultaneously present the radiographic and intraoperative images of hydatid cyst-induced pancreatitis, an uncommon cause of recurrent pancreatitis that should be considered in patients living in echinococcus endemic areas.…”

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confidence: 99%

Hepatic Hydatid Cyst: A Rare Cause of Recurrent Pancreatitis

Kitchens

Liu

Ryan

et al. 2014

Journal of Gastrointestinal Surgery

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A case of pancreatitis secondary to a hepatic hydatid cyst is illustrated together with its preoperative imaging and intraoperative appearance. Cystobiliary communication is a common complication of large hydatid cysts, and episodes of recurrent pancreatitis resulting from passage of cyst contents down the biliary tract are rarely described. The clinical manifestations, diagnostic workup, and surgical management options of echinococcal-related pancreatitis are discussed, and a review of the literature is provided.

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confidence: 99%

Hepatic Hydatid Cyst: A Rare Cause of Recurrent Pancreatitis

Kitchens

Liu

Ryan

et al. 2014

Journal of Gastrointestinal Surgery

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Infectious Causes of Acute Pancreatitis

Nesvaderani¹,

Eslick²,

Cox³

2019

Gastrointestinal Diseases and Their Associated Infections

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Acute pancreatitis as an uncommon complication of hydatid cyst of the liver: A case report and systematic literature review

Mahmoud

Atri

Rebai

et al. 2021

Annals of Medicine and Surgery

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Hydatid disease is a major health problem worldwide. The liver is the most frequent location of hydatid disease. Acute pancreatitis secondary to liver hydatid cyst ruptured in the biliary tract is scarce and fewly described in literature. The management of this pancreatic complication of liver hydatid disease is challenging and includes a combination of surgical and endoscopic approaches. We report herein a rare case of hydatid cyst of the liver with cysto-biliary communication revealed by acute pancreatitis. A systematic literature review of similar cases reported was provided to compare surgical and endoscopic techniques. A thirty-year-old woman was referred to our emergency unit for acute pancreatitis. The CT-scan findings revealed a liver hydatid cyst ruptured in the biliary tract and daughter vesicles within were found, responsible for C-grade acute pancreatitis. We decided then to perform an emergency surgery through a bisoucostal incision. We performed a cholecystectomy and a peroperative cholangiogram that showed the communication between the cyst and left biliary tracts and the presence of daughter vesicle within the common bile duct. We conducted an exploration of the common bile duct with extraction of vesicle daughters. We left behind a T-tube in the common bile duct and we sutured the cysto-biliary fistula. Drainage was left in the remnant cavity after unroofing the cyst. Postoperative course was uneventful. Six months follow-up showed no recurrence. Cysto-biliary communication of liver hydatid disease revealed by acute pancreatitis is uncommon. We chose to perform emergency open surgery. However, through a systematic literature review, we noticed that endoscopic treatment is an efficient therapeutic and diagnostic tool to delay a morbid surgery of the liver and the common bile duct.

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Intrabiliary rupture of hepatic hydatid cyst with impacted hydatid membranes at ampulla of Vater presenting as acute pancreatitis

Cited by 4 publications

References 7 publications

Hepatic Hydatid Cyst: A Rare Cause of Recurrent Pancreatitis

Hepatic Hydatid Cyst: A Rare Cause of Recurrent Pancreatitis

Infectious Causes of Acute Pancreatitis

Acute pancreatitis as an uncommon complication of hydatid cyst of the liver: A case report and systematic literature review

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