{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T13:42:13Z","timestamp":1780407733396,"version":"3.54.1"},"reference-count":16,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,7,19]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>The larvae of the tapeworm <jats:italic>Echinococcus granulosus<\/jats:italic> cause echinococcosis or hydatid disease. Liver is the most commonly involved organ accounting for 60%\u201380%. Rupture into the biliary radicle through a cystobiliary communication is the most anticipated complication seen in 5%\u201317%, presenting with obstructive jaundice and cholangitis. We present a young patient who had presented with cholangitis and a tender hepatomegaly. Contrast-enhanced CT (CECT) had revealed a large hepatic hydatid cyst with multiple daughter cysts and significant dilatation of intrahepatic\/extrahepatic biliary system. He had undergone an emergency Endoscopic Retrograde Cholangiopancreatography (ERCP) with extraction of the membranes and stenting of the common bile duct. A few cycles of albendazole were given to sterilise before elective laparoscopic surgery. However, a follow-up CECT showed complete resolution of the hepatic hydatid with calcification. In conclusion, medical treatment with a few cycles of albendazole and ERCP with stenting could be a good treatment option.<\/jats:p>","DOI":"10.1136\/bcr-2021-243533","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T12:33:03Z","timestamp":1628166783000},"page":"e243533","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Unusual case of disappearing hepatic hydatid cyst: COVID-19 times"],"prefix":"10.1136","volume":"14","author":[{"given":"Shrenik","family":"Govindaraj","sequence":"first","affiliation":[{"name":"Department of General and Laparoscopic Surgery, St John's National Academy of Health Sciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veera","family":"Bhadra","sequence":"additional","affiliation":[{"name":"Department of General and Laparoscopic Surgery, St John's National Academy of Health Sciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clement","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of General and Laparoscopic Surgery, St John's National Academy of Health Sciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8086-9499","authenticated-orcid":false,"given":"Sridar","family":"Govindaraj","sequence":"additional","affiliation":[{"name":"Department of General and Laparoscopic Surgery, St John's National Academy of Health Sciences, Bangalore, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,8,5]]},"reference":[{"key":"2025082703004919000_14.8.e243533.1","doi-asserted-by":"crossref","first-page":"15253","DOI":"10.3748\/wjg.v20.i41.15253","article-title":"Role of endoscopic retrograde cholangiopancreatography in the management of hepatic hydatid disease","volume":"20","author":"Dolay","year":"2014","journal-title":"World J Gastroenterol"},{"key":"2025082703004919000_14.8.e243533.2","first-page":"287","article-title":"Endoscopic management of biliary hydatid disease","volume":"39","author":"Akkiz","year":"1996","journal-title":"Can J Surg"},{"key":"2025082703004919000_14.8.e243533.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.09.014"},{"key":"2025082703004919000_14.8.e243533.4","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(93)90355-G"},{"key":"2025082703004919000_14.8.e243533.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-018-3201-y","article-title":"Medical treatment of cystic echinococcosis: systematic review and meta-analysis","volume":"18","author":"Velasco-Tirado","year":"2018","journal-title":"BMC Infect Dis"},{"key":"2025082703004919000_14.8.e243533.6","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2011.11-0382"},{"key":"2025082703004919000_14.8.e243533.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(01)90162-2"},{"key":"2025082703004919000_14.8.e243533.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-706X(96)00640-7"},{"key":"2025082703004919000_14.8.e243533.9","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.155.3.3890001"},{"key":"2025082703004919000_14.8.e243533.10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199709253371303"},{"key":"2025082703004919000_14.8.e243533.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2006.01.014"},{"key":"2025082703004919000_14.8.e243533.12","doi-asserted-by":"publisher","DOI":"10.1086\/378275"},{"key":"2025082703004919000_14.8.e243533.13","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-0058-1"},{"key":"2025082703004919000_14.8.e243533.14","doi-asserted-by":"crossref","unstructured":"Nasseri Moghaddam S , Abrishami A , Malekzadeh R . Percutaneous needle aspiration, injection, and reaspiration with or without benzimidazole coverage for uncomplicated hepatic hydatid cysts. Cochrane Database Syst Rev 2006:CD003623. doi:10.1002\/14651858.CD003623.pub2","DOI":"10.1002\/14651858.CD003623.pub2"},{"key":"2025082703004919000_14.8.e243533.15","unstructured":"World Health Organization . PAIR: puncture, aspiration, injection, re-aspiration, 2001. 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