10 -10 (72) 2024 - Abidov U.O., Urokov Sh.T., Sultonzoda N.D. - RUPTURE OF A HEPATIC ECHINOCOCCAL CYST INTO THE BILE DUCTS AND GALLBLADDER (A CASE REPORT)
RUPTURE OF A HEPATIC ECHINOCOCCAL CYST INTO THE BILE DUCTS AND GALLBLADDER (A CASE REPORT)
Abidov U.O. - Bukhara State Medical Institute named after Abu Ali ibn Sina
Urokov Sh.T. - Bukhara branch of the Republican Scientific Center for Emergency Medical Care Uzbekistan
Sultonzoda N.D. - Bukhara branch of the Republican Scientific Center for Emergency Medical Care Uzbekistan
Resume
Hepatic echinococcosis complicated by cyst rupture into the bile ducts and gallbladder is a rare but serious condition requiring immediate medical attention. This article presents a clinical case of a 36-year-old patient with a hepatic echinococcal cyst that ruptured into the biliary tree, leading to the development of mechanical jaundice and cholangitis. The diagnostic methods, including ultrasound, MRI, and endoscopic retrograde cholangiopancreatography (ERCP), are described, along with the successful use of endoscopic papillotomy and surgical treatment (choledochotomy) to remove parasitic elements and drain the bile ducts. The treatment was supplemented with antiparasitic therapy using albendazole to prevent recurrence. Early diagnosis and the integration of surgical and endoscopic methods, combined with medical treatment, significantly improve the prognosis for patients with this complication.
Keywords: hepatic echinococcosis, cyst rupture, bile ducts, gallbladder, mechanical jaundice, cholangitis, choledochotomy, endoscopic papillotomy, antiparasitic therapy.
First page
63
Last page
68
For citation:Abidov U.O., Urokov Sh.T., Sultonzoda N.D. - RUPTURE OF A HEPATIC ECHINOCOCCAL CYST INTO THE BILE DUCTS AND GALLBLADDER (A CASE REPORT)//New Day in Medicine 10(72)2024 63-68 https://newdayworldmedicine.com/en/new_day_medicine/10-72-2024
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