Frank intrabiliary rupture of hepatic hydatid cyst can occur in rare instance. The intra biliary communication may result in acute cholangitis and sudden reduction in size of hepatic hydatid cyst
Thanks Prof Ierardi for the compliments. I have published the case as Image of the month in April issue of American Journal of Gastroenterology. I have attached the pdf.
Dr Andrey As the hepatic hydatic cyst was reduced to half of its original volume after ERCP drainage of the intrabiliary communication rupture. Patient is doing well for past 4 months and is presently on cyclical albendazole therapy.
Percutaneous Aspiration Injection Reaspiration (PAIR) is a novel percutaneous treatment for hepatic hydatic. PAIR can be done 3 monthly or 6 monthly for 2 years for total clearance of hydatid cyst. Surgery and resection is the final option for complicated hydatid cyst.