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Rupture d’un kyste hydatique du foie dans les voies biliaires: intérêts diagnostique et thérapeutique de la cholangiographie rétrograde endoscopique

Intrabiliary rupture of hepatic hydatid cyst: endoscopic retrograde cholangiography diagnosis and treatment

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Acta Endoscopica

Résumé

Nous rapportons l’observation, chez un homme de nationalité turque agé de 32 ans, d’une angiocholite par rupture d’un kyste hydatique du foie dans les voies biliaires. Un traitement associant une sphinctérotomie endoscopique et un drainage nasobiliaire a permis chez cet homme, porteur d’une polykystose hépato-rénale, la normalisation clinico-biologique, sérologique et la régression de l’image kystique. Ce traitement endoscopique exclusif, facilement réalisable en urgence, devrait permettre de surseoir à la chirurgie plus morbide dans ce type de complication, particulièrement en cas de pathologie hépatique associée.

Summary

We reported a case in a 32 year-old turkishman, with polycystic disease of the liver and the kidney, of cholangitis due to rupture of an echinococcus liver cyst in the biliary tract. Clinical, biological and morphological cure of this disease were obtained by endoscopic sphincterotomy with nasobiliary drainage. Easily practiced in urgency, this exclusive endoscopic treatment should replace surgery more morbid in this complication, especially with pre-existent hepatic disease.

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Authors and Affiliations

  1. Service de Gastroentérologie, Centre Hospitalier Intercommunal de Montfermeil, 10 rue du Général Leclerc, 93370, Montfermeil, France

    G. Bellaïche, S. Sultan, Y. Hassaine, P. Sevin, B. Lesgourgues & N. Delas

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  1. G. Bellaïche
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  2. S. Sultan
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  3. Y. Hassaine
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  4. P. Sevin
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  5. B. Lesgourgues
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  6. N. Delas
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Bellaïche, G., Sultan, S., Hassaine, Y. et al. Rupture d’un kyste hydatique du foie dans les voies biliaires: intérêts diagnostique et thérapeutique de la cholangiographie rétrograde endoscopique. Acta Endosc 23, 373–378 (1993). https://doi.org/10.1007/BF02969560

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  • DOI: https://doi.org/10.1007/BF02969560

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