Chikhaoui N, Kadiri R
Service Central de Radiologie, CHU Ibnou Rochd, Casablanca, Maroc.
Ann Radiol (Paris). 1994;37(4):267-9.
The authors report an exceptional case of hydatid cyst of the liver totally evacuated into the common bile duct. This rare complication of hydatid cyst of the liver was suspected clinically in a context of cholangitis, in a patient with hydatid cyst of the liver. The diagnosis of the cysto-biliary communication was based on several radiological examination, especially ultrasound examination which, when a large window setting is used, reveals the presence of hydatid material inside the dilated bile-ducts, and biliary opacification which locates the obstacle in the bile-duct and visualizes the cysto-biliary communication.
作者报告了一例罕见病例，肝脏包虫囊肿完全排入胆总管。在一名患有肝脏包虫囊肿的患者中，临床上怀疑出现了这种罕见的肝脏包虫囊肿并发症，其表现为胆管炎。囊肿与胆管相通的诊断基于多项影像学检查，尤其是超声检查，当采用大窗口设置时，超声可显示扩张胆管内存在包虫物质，而胆管造影可定位胆管内的梗阻并显示囊肿与胆管的相通情况。
