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Unusual case of disappearing hepatic hydatid cyst: COVID-19 times #MMPMID34353833
Govindaraj S; Bhadra V; Prakash C; Govindaraj S
BMJ Case Rep 2021[Aug]; 14 (8): ä PMID34353833show ga
The larvae of the tapeworm Echinococcus granulosus cause echinococcosis or hydatid disease. Liver is the most commonly involved organ accounting for 60%-80%. Rupture into the biliary radicle through a cystobiliary communication is the most anticipated complication seen in 5%-17%, presenting with obstructive jaundice and cholangitis. We present a young patient who had presented with cholangitis and a tender hepatomegaly. Contrast-enhanced CT (CECT) had revealed a large hepatic hydatid cyst with multiple daughter cysts and significant dilatation of intrahepatic/extrahepatic biliary system. He had undergone an emergency Endoscopic Retrograde Cholangiopancreatography (ERCP) with extraction of the membranes and stenting of the common bile duct. A few cycles of albendazole were given to sterilise before elective laparoscopic surgery. However, a follow-up CECT showed complete resolution of the hepatic hydatid with calcification. In conclusion, medical treatment with a few cycles of albendazole and ERCP with stenting could be a good treatment option.