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Canadian Journal of Gastroenterology
Volume 6, Issue 3, Pages 135-139
Brief Communication

Endoscopic and Surgical Management of Intrabiliary Rupture of Hydatid Liver Cyst

Sebastian Leong, Young-In Kim, Robin Gray, Paul Kortan, and Gregory Haber

The Wellesley Hospital, Division of Gastroenterology and Department of Radiology, University of Toronto, Toronto, Ontario, Canada

Received 14 February 1992; Revised 27 April 1992

Copyright © 1992 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A man with hydatid disease complicated by intraabdominal cyst rupture 15 years earlier, presented with cholestatic jaundice. There was intrabiliary rupture of a hydatid liver cyst on endoscopic retrograde cholangiography. Sphincterotomy was performed allow clearance of hydatid material obstructing the bile ducts and insertion of a nasobiliary catheter for irrigation and drainage. Definitive surgery was performed. While endoscopic management is gaining recognition for relieving biliary obstruction in hydatid cystobiliary rupture, surgery is still required for patients who continue to pass hydatid debris obstructing the biliary tree and increasing the risk of cholangitis.