PMC7417887_01
MRI (a) demonstrating extensively dilated common bile duct filled with hydatid cyst material seen as hypointense lesions (indicated by the yellow arrow). and MRCP (b) demonstrating dilated intrahepatic bile ducts (indicated by the yellow arrow).
gr1.jpg
PMC7417887_01_gr1.jpg
fig0005
The MRI and MRCP revealed extensively dilated hepatic bile ducts and common bile duct filled with hydatid cyst material seen as hypointense lesions (Fig. 1).
Endoscopic retrograde cholangiopancreatography showing evacuation of hydatid membranes and daughter cysts with endoscopic sphincterotomy and a biliary occlusion balloon.
gr2.jpg
PMC7417887_01_gr2.jpg
fig0010
An endoscopic sphincterotomy was performed and a large amount of the membranes and daughter vesicles were removed from the common bile duct (CBD) extraction by balloon and basket catheter (Fig. 2).
Open gallbladder after cholecystectomy where hydatid membrane and daughter cysts where noticed (arrows).
gr3.jpg
PMC7417887_01_gr3.jpg
fig0015
After cholecystectomy, the gallbladder was opened confirming also membranes and small daughter cysts inside gallbladder (Fig. 3).