Robleh Hassan, Yassine Fahmi, Driss Khaiz, Khalid Elhattabi, Fatima-Zahra Bensardi, Saad Berrada, Rachid Lefriyekh, Abdalaziz Fadil, Najib Zerouali Ouariti
Service des Urgences Chirurgie Viscérale, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Morocco.
Pan Afr Med J. 2014 Dec 10;19:370. doi: 10.11604/pamj.2014.19.370.5727. eCollection 2014.
Rupture of hydatid liver cyst into biliary tree is frequent complications that involve the common hepatic duct, lobar biliary branches, the small intrahepatic bile ducts,but rarely rupture into common bile duct. The rupture of hydatid cyst is serious life threating event. The authors are reporting a case of total rupture of hydatid cyst of liver into common bile duct. A 50-year-old male patient who presented with acute cholangitis was diagnosed as a case of totally rupture of hydatid cyst on Abdominal CT Scan. Rupture of hydatid cyst of liver into common bile duct and the gallbladder was confirmed on surgery. Treated by cholecystectomy and T-tube drainage of Common bile duct.
肝包虫囊肿破入胆管是常见的并发症,可累及肝总管、肝叶胆管分支、肝内小胆管,但很少破入胆总管。肝包虫囊肿破裂是严重威胁生命的事件。作者报告一例肝包虫囊肿完全破入胆总管的病例。一名50岁男性患者因急性胆管炎就诊,腹部CT扫描诊断为肝包虫囊肿完全破裂。手术证实肝包虫囊肿破入胆总管和胆囊。行胆囊切除术及胆总管T管引流术治疗。