CONTRIBUTION OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) IN THE MANAGEMENT OF RUPTURED LIVER HYDATIDOSIS CYST IN THE BILE DUCTS

Aims Assess the contribution of retrograde cholangiopancreatography (ERCP) in the management of liver hydatitosis cyst in the bile ducts.

Methods This was a retrospective descriptive study collecting patients treated with an ERCP for rupture of the liver hydatitosis cyst in the bile ducts between 2013 and 2021.

Results Eighty-two patients were collected among a total of 1346 ERCP performed (6.9%). The average age was 46.4 years [16-87]. The sex ratio (H/F) was 1.13. Cholangitis was the primary indication of ERCP in 56 cases. Elsewhere, it was performed in 25 patients (or 30.48) with post-operative persistent biliary fistulae and one case of hydatic pancreatitis. The common bile duct was catheterized in 95.16% of cases. Extraction of water-based material was performed in 23 patients. The evolution was marked by the occurrence of acute pancreatitis in three patients. No case of hemorrhage or perforation post-CPRE was noted. A good long-term clinical evolution.

Conclusions Endoscopic treatment of ruptured liver hydatitosis cyst in the bile ducts is an effective therapeutic alternative, with a low rate of immediate complications (3.22%) and a favorable long-term evolution.

 

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Publication History

Article published online:
14 April 2022