Surgery as the Preferred Approach for Patients with Hydatid Cysts Ruptured into the Biliary Tract, Compared to Non-Invasive Methods Such as Percutaneous Aspiration, Injection, and Re-aspiration (PAIR)

Movahedi, Hamidreza; Eghlimi, Hesameddin; Ghadiany, Saina

doi:10.22034/ijs.2026.2081026.1003

Surgery as the Preferred Approach for Patients with Hydatid Cysts Ruptured into the Biliary Tract, Compared to Non-Invasive Methods Such as Percutaneous Aspiration, Injection, and Re-aspiration (PAIR)

Articles in Press

Document Type : Case Report

Authors

Hamidreza Movahedi ¹

Hesameddin eghlimi ²

Saina Ghadiany ²

¹ General Surgery Department, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

² Department of General Surgery, School of Medicine Ayatollah Taleghani Hospital Shahid Beheshti University of Medical Sciences, Tehran, Iran

10.22034/ijs.2026.2081026.1003

Abstract

Introduction: Hepatic hydatid cyst is a common manifestation of hydatidosis caused by the parasite Echinococcus granulosus. In the recent years, PAIR has been considered as a minimally invasive treatment method. However, in cases where the cysts are multiple, complex, or ruptured into the bile duct, this method may be ineffective and surgical intervention may be necessary in these cases.
Case presentation: In this case we report a 54-year-old woman with multiple hepatic hydatid cysts, including one that ruptured into the bile duct. The patient presented with abdominal pain. After the failure of PAIR, the patient underwent open surgery and was discharged with a complete recovery.
Conclusion: In patients with multiple or complex hepatic hydatid cysts, or in cases of ruptured into the bile duct, minimally invasive methods such as PAIR may not be effective. In these cases ppen surgery might remain as the definitive and successful treatment in these patients.

Keywords

Liver Hydatid Cyst

Percutaneous Aspiration Method

Injection and Re-Aspiration

Aspiration

Multiple Liver Cysts

bile Duct

Open Surgery

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