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Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

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Keywords

Cholangiopancreatography Endoscopic Rotrograde
Cholangitis
Echinococcosis
Bile Ducts/parasitology
Gastrointestinal Tract/diagnostic imaging
Endosonography

How to Cite

1.
Acute cholangitis secondary to biliary hydatidosis resolved by endoscopic retrograde cholangiopancreatography. Report of a case. Cambios rev. méd. [Internet]. 2024 May 14 [cited 2025 May 19];23(1):e936. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/936

Abstract

Introduction: Biliary hydatid disease is the most common complication of hepatic hydatid disease. Endoscopic retrograde cholangiopancreatography plays a key role in treatment. Clinical case: A 57-year-old female presented with abdominal pain, vomiting, diarrhea, leukocytosis, mixed hyperbilirubinemia, and magnetic resonance cholangiography showed a dilated bile duct and a signal defect in the proximal and
distal third. Endoscopic retrograde cholangiopancreatography shows the presence of a foreign body with a membrane appearance, a dilated bile duct, and cysts with a parasitic appearance. Conclusion: The treatment of choice is surgical and pharmacological, endoscopic retrograde cholangiopancreatography before surgery ensures the extraction of hydatid material and treats biliary obstruction, identifies the fistulous
tract and facilitates its closure by placing a prosthesis and sphincterotomy, which is why it constitutes a Effective non-surgical treatment with a wide margin of safety.

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