Diario del páncreas Acceso abierto

Abstracto

A Case Report of Uncommon Frank Fistulous Communication between Liver Hydatid Cyst and Gallbladder

Mohamed Ali Chaouch, Meryam Mesbahi, Mossab Ghannouchi, Jihed Rebhi, Ramine Sboui, Yassine Tlili, Mohamed Taha Abdelkafi, Karim Nacef, Moez Boudokhane

Introduction Liver hydatid cyst and the gallbladder fistulous communication are rare. We report a case of a cholecysto-hydatid cyst fistula discovered by acute pancreatitis. Case presentation A 38-year-old woman presented for acute pancreatitis. Ultrasonography objectified a downsizing gallbladder due to a compression by a multi-vesicular hydatid-cyst. Abdominal CT-scan found an acute pancreatitis stage B with a thick-walled multi-located hepatic cyst lesion and suggests the presence of many daughter cysts in the gallbladder lumen. Intra-operatively, we found a large liver hydatid cyst with close adhering to the gall bladder. Lagrot’s procedure was adopted. During the cholecystectomy, a fistulous communication between the liver hydatid cyst and the gallbladder was found with presence of daughter cysts in the gallbladder. Conclusion Cholecysto-hydatid cyst communication could be discovered by several complications such as acute pancreatitis. This complication should be predicted preoperatively, checked intraoperatively, and well managed postoperatively in case of residual cystic cavity related complications.