PMC7658568_01
MRI of the abdomen showing a 30 x 17.5 mm intraluminal lesion in the right hepatic duct extending to the hepatic bifurcation (A and B), suggestive of a type 3A klatskin tumour. A simple 3 cm biliary cyst in segment V close to the right hepatic duct is also noted (B).
gr1.jpg
PMC7658568_01_gr1.jpg
fig0005
The finding was suggestive of a type 3A klatskin tumor (Fig. 1). The MRI also noted the presence of a simple 3 cm biliary cyst in segment V close to the right hepatic duct (Fig. 1).
The ejected hydatid cysts and material. The proximal (A) and distal (B) parts of the bile duct are seen.
gr2.jpg
PMC7658568_01_gr2.jpg
fig0010
Instantly, multiple daughter hydatid cysts, cystic fragments, and whitish fluid were ejected from the proximal part of the hepatic duct (Fig. 2).
Post-operative cholangiography through the t-tube showing no obstruction and no leaks.
gr3.jpg
PMC7658568_01_gr3.jpg
fig0015
A cholangiography through the t-tube revealed no obstruction and no leaks (Fig. 3), so we decided to discharge the patient on albendazol and remove the t-tube after 2 months.