We describe the case of a 64-year-old man who presented with bowel obstruction secondary to migration of a hepatic hydatid cyst into the colon. Imaging demonstrated a Hepatic-colonic fistula and a calcific cyst stuck within the sigmoid lumen. We also describe how it was possible to resolve the obstruction endoscopically, trough fragmentation of the cyst’s calcific wall, thus avoiding emergency surgery. A review of the English literature showed that a similar scenario have never been reported. Its management was also original and tailored to this particular case, as it resulted from a combination of different endoscopic procedures.
Colonic obstruction caused by calcified hepatic hydatid cyst migrated into the left colon.
RESTIVO, ANGELO;ZORCOLO, LUIGI;
2010-01-01
Abstract
We describe the case of a 64-year-old man who presented with bowel obstruction secondary to migration of a hepatic hydatid cyst into the colon. Imaging demonstrated a Hepatic-colonic fistula and a calcific cyst stuck within the sigmoid lumen. We also describe how it was possible to resolve the obstruction endoscopically, trough fragmentation of the cyst’s calcific wall, thus avoiding emergency surgery. A review of the English literature showed that a similar scenario have never been reported. Its management was also original and tailored to this particular case, as it resulted from a combination of different endoscopic procedures.
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