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    Bedirli A, Sakrak O, Sozuer EM, Kerek M, Ince O, 2002. Surgical management of spontaneous intrabiliary rupture of hydatid liver cysts. Surg Today 32 :594–597.

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Cysto-biliary Fistula in a Septic Patient with Cystic Echinococcosis

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  • 1 Department of Tropical Medicine, Medical Mission Hospital, Würzburg, Germany; Department of Gastroenterology and Rheumatology, Stiftung Juliusspital, Würzburg, Germany
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A diagnosis of cystic echinococcosis (CE) with two partly calcified hepatic lesions was made in a Turkish patient who immigrated to Germany 38 years ago. One lesion, which was 10 cm × 10 cm, was located in the quadrate lobe close to the gallbladder. The other lesion, which was 4.3 cm × 3.5 cm, was located in the left lobe of the liver. These lesions showed no internal structures and were considered inactive, corresponding to type 5 of the World Health Organization classification.1 The patient had cholecystolithiasis and developed biliary pancreatitis. Laparotomy and cholecystectomy were performed.

Four months

A diagnosis of cystic echinococcosis (CE) with two partly calcified hepatic lesions was made in a Turkish patient who immigrated to Germany 38 years ago. One lesion, which was 10 cm × 10 cm, was located in the quadrate lobe close to the gallbladder. The other lesion, which was 4.3 cm × 3.5 cm, was located in the left lobe of the liver. These lesions showed no internal structures and were considered inactive, corresponding to type 5 of the World Health Organization classification.1 The patient had cholecystolithiasis and developed biliary pancreatitis. Laparotomy and cholecystectomy were performed.

Four months

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