Manifestation of hydatid cyst of liver with pancreatitis, cholangitis and jaundice: A case report.

Hydatid disease or echinococcosis, a systemic zoonosis is caused by Echinococcusgranulosus larvae. This is a common disease found all over the world, especially in the Mediterranean region. We report a 40 year old male with no known comorbids who came with complaints of fever with rigors and chills, right hypochondriac pain, and yellow discolouration of the sclera. A CT scan abdomen with endoscopic retrograde cholangiopancreatography (ERCP) gave a diagnosis of hydatid cyst of the liver with pancreatitis, cholangitis and jaundice due to involvement of the biliary tree and common bile duct ERCP was done and a stent was placed after which the patient was referred to general surgery department where the resection of cyst was performed under general anaesthesia. Pancreatitis was managed conservatively. We could not find any case reported in the literature, which showed manifestation of hydatid cyst of liver with pancreatitis, cholangitis and jaundice simultaneously, which made us report this case.