Obstructive Jaundice Due to Intra-Biliary Rupture of liver Hydatid Cyst

Abstract

Of 78 causes of obstructive jaundice treaxed in a three years period form ( 1/6/1998 -1/6/2000 ),7 were due to the intrabiiiary rupture ofhydatid cysts ofthe liver. Eosinophilia ofmorc thant0%, raised alkaline phospbataso, positive in dir€ct haemagglutination test were roted in all 7 causes.Plain X-ray of the abdomen, uit€sound, endoscopic retrograde cholangio-panereatogmphy and CTscan were useful modalities for delmile preoperative diagnosis. Ali patients had opemtive treatmentwhich consisted of cyst drainage, padal pericystectomy, cNeftage ofthe remaining cavity which wasstitched with tube dmin, cholecystectomy, pericystectomy and T-tube drainage. They all recover€dsalisfactorily and without complication in a follow-up period of one year