Rupture of a hepatic echinococcal cyst into the bile ducts and gallbladder: a clinical case

A clinical case of liver echinococcosis complicated by cyst rupture into the bile ducts and gallbladder is presented. It is a rare but serious condition which requires emergency medical care. Liver echinococcosis is a serious medical problem, especially in endemic regions. Complications of the disease, such as cyst rupture into the bile ducts with the development of obstructive jaundice, aggravate the clinical course of the disease significantly, leading to cholangitis, hepatic abscesses and liver failure. It is a clinical case of a 36-year-old patient with an echinococcal hepatic cyst that ruptured into the biliary tree, which led to the development of obstructive jaundice and cholangitis. Diagnostic methods, including ultrasound, magnetic resonance imaging and endoscopic retrograde cholangiopancreatography are described, as well as the successful use of endoscopic papillosphincterotomy and choledochotomy with the removal of parasite elements and drainage of the biliary tract.