A Serious Complication of Percutaneous Treatment of Hydatid Cycts: Bile Fistula and Ischemia of Liver

Abstract

Echinococcosis is a zoonotic, cyst-forming parasitic disease of worldwide distribution caused by the larval stage of the Echinococcus. When left untreated, grow and follow one of several courses such as fistulae with adjacent organ or biliary system, rupture into the peritoneal cavity caused anaphylaxis, rupture into peritoneal cavity seeding daughter cysts. PAIR (percutaneous aspiration, irrigation with scolicide and respiration) has been utilized safely an effectively in selected patients. But rarely, a complication of PAIR can be life-threatening. Therefore, PAIR should only be performed in centers with appropriate medical and surgical modalities. We present a case of percutaneous treatment of hydatid cyst with a serious complication: biliary fistula and hepatic ischemia.