General Surgery
doi: 10.25005/2074-0581-2023-25-2-271-277
ENDOSCOPIC DIAGNOSTICS AND TREATMENT OF INTRABILIARY RUPTURE OF LIVER HYDATID CYST

S.Sh. Musoev1, Sh.Sh. Amonov1,2, Z.Sh. Fayziev1, M.O. Olimi2

1Department of Endoscopic Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
2Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: Hepatic echinococcosis (HE), also known as hydatid disease in humans, is a parasitic disease prevalent in countries with a developed animal husbandry industry. The parasite mainly impacts the liver and lungs of an individual and presents itself as a cyst. Severe complications of HE are suppuration, communicating rupture of hepatic hydatid cysts (HHC) into the abdominal or pleural (through the diaphragm) cavities, adjacent hollow organs, and bile ducts. In the latter case, the ducts are blocked by HHC elements with the development of obstructive jaundice (OJ). The article presents a rare clinical case of successful treatment of a patient with HHC, complicated by a communicating rupture of hepatic hydatid cysts into the biliary tract and the development of OJ. The patient underwent endoscopic retrograde cholangiopancreatography (ERCP), endoscopic papillosphincterotomy (EPST), chitin coat extraction, and mechanical block elimination with biliary tract lavage.

Keywords: Hepatic echinococcosis, communicating rupture into the bile ducts, obstructive jaundice, endoscopic retrograde cholangiopancreatography, papillosphincterotomy, chitin coat extraction.

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Authors' information:

Musoev Sorbon Sheralievich,
Head of the Department of Endoscopic Surgery, Republican Scientific Center for Cardiovascular Surgery
ORCID ID: 0000-0003-4172-4286
SPIN: 7646-0109
Author ID: 910227
E-mail: smusoev00@mail.ru

Amonov Shukhrat Shodievich,
Doctor of Medical Sciences, Surgeon of the Department of Endoscopic Surgery, Republican Scientific Center for Cardiovascular Surgery; Assistant of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-3702-6584
SPIN: 8501-8830
Author ID: 107029
E-mail: shuhrat.amonov@yandex.ru

Fayziev Zakirdzhon Sharifovich,
Candidate of Medical Sciences, Senior Researcher of the Department of Endoscopic Surgery, Republican Scientific Center of Cardiovascular Surgery
ORCID ID: 0000-0003-4172-4286
SPIN: 7646-0109
Author ID: 910227
E-mail: zokir.67@mail.ru

Olimi Maruf Olimjon,
Postgraduate Student of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-1761-0257
SPIN: 8907-4423
Author ID: 1087523
E-mail: marufjon93-93@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Olimi Maruf Olimjon
Postgraduate Student of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (985) 745500

E-mail: marufjon93-93@mail.ru

Materials on the topic:
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  2. SURGICAL WOUND SUPPURATIVE COMPLICATIONS AFTER TENSION-FREE HERNIOPLASTY
  3. THE ROLE OF ENDOTHELIAL DYSFUNCTION IN THE PATHOGENESIS OF LIVER FAILURE IN OBSTRUCTIVE JAUNDICE OF BENIGN ORIGIN
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