el Idrissi H D, Ridai M, Zerouali N O
Service des Urgences chirurgicales viscérales, CHU Ibn Rochd, Casablanca, Maroc.
Presse Med. 1996 Dec 21;25(40):2022-4.
Hydatic cysts of the liver are known to rupture into the biliary tree, but acute pancreatitis is an uncommon consequence.
A 30-year-old woman who had undergone cholecystectomy 8 years earlier for gall bladder stones was hospitalized because of acute abdominal pain. Acute pancreatitis was diagnosed. Abdominal sonography showed a hydatic cyst. Fifteen days after admission after normalization of the amylasemia, surgical cure was successful.
This case demonstrates that hepatic material can migrate via the main bile duct and provoke acute pancreatitis. Fistula drainage via the Oddi sphincter can be successful.
肝包虫囊肿破裂进入胆管树是已知的情况，但急性胰腺炎是一种不常见的后果。
一名30岁女性，8年前因胆囊结石接受了胆囊切除术，因急性腹痛入院。诊断为急性胰腺炎。腹部超声显示有一个包虫囊肿。入院15天后，淀粉酶血症恢复正常，手术治愈成功。
该病例表明肝脏物质可通过胆总管迁移并引发急性胰腺炎。经Oddi括约肌进行瘘管引流可能成功。
