Non-surgical endoscopic trans-papillary treatment of ruptured echinococcus liver cyst obstructing the biliary tree.

摘要: Previous reports showed that surgery is the only method of treating liver hydatid cysts have ruptured into biliary system. We report a case obstructive jaundice due to spontaneous rupture cyst system, which was treated non-surgically by endoscopic papillotomy and extraction daughter from insertion nasobiliary tube for drainage injection scolicidal hypertonic saline, Clear resolution obstruction, disappearance decrease in size hepatic shown ERCP, ultrasound CT scan. believe this new safe, effective has lower incidence mortality, morbidity recurrence than surgery, it should replace whenever possible.