{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T14:21:39Z","timestamp":1769091699477,"version":"3.49.0"},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT BACKGROUND: Hydatid disease, a parasitic infestation caused by Echinococcus granulosus larvae, is an infectious disease endemic in different areas, such as India, Australia, and South America. The liver is well known as the organ most commonly affected by hydatid disease and may present a wide variety of complications such as hepatothoracic hydatid transit, cyst superinfection, intra-abdominal dissemination, and communication of the biliary cyst with extravasation of parasitic material into the bile duct, also called cholangiohydatidosis. Humans are considered an intermediate host, exposed to these larvae by hand-to-mouth contamination of the feces of infected dogs. AIM: This study aimed to highlight the role of endoscopic retrograde cholangiopancreatography in patients with acute cholangitis secondary to cholangiohydatidosis. METHODS: Considering the imaging findings in a 36-year-old female patient with computed tomography and magnetic resonance imaging showing a complex cystic lesion in liver segment VI, with multiple internal vesicles and a wall defect cyst that communicates with the intrahepatic biliary tree, endoscopic biliary drainage was performed by endoscopic retrograde cholangiopancreatography with papillotomy, leading to the discharge of multiple obstructive cysts and hydatid sand from the main bile duct. RESULTS: Clinical and laboratory findings improved after drainage, with hospital discharge under oral antiparasitic treatment before complete surgical resection of the hepatic hydatid cyst. CONCLUSIONS: Endoscopic retrograde cholangiopancreatography is a safe and useful method for the treatment of biliary complications of hepatic hydatid disease and should be considered the first-line procedure for biliary drainage in cases of cholangiohydatid disease involving secondary acute cholangitis.<\/jats:p>","DOI":"10.1590\/0102-672020220002e1699","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T15:11:45Z","timestamp":1673277105000},"source":"Crossref","is-referenced-by-count":4,"title":["THERAPEUTIC APPROACH OF COMPLICATED HYDATID DISEASE: ROLE OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN CHOLANGIOHYDATIDOSIS"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5883-1956","authenticated-orcid":false,"given":"Franz","family":"GONZ\u00c1LEZ-ARBOLEDA","sequence":"first","affiliation":[{"name":"Regional Hospital, Chile; Catholic University of Maule, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9161-4221","authenticated-orcid":false,"given":"Felipe","family":"PIZARRO","sequence":"additional","affiliation":[{"name":"Regional Hospital, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2642-4288","authenticated-orcid":false,"given":"Cristian","family":"LINDNER","sequence":"additional","affiliation":[{"name":"Regional Hospital, Chile; Regional Hospital, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3265-8950","authenticated-orcid":false,"given":"Ferm\u00edn","family":"CAQUEO","sequence":"additional","affiliation":[{"name":"Regional Hospital, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1128\/JCM.02420-15","article-title":"Cystic Echinococcosis","volume":"54","author":"Agudelo Higuita NI","year":"2016","journal-title":"J Clin Microbiol."},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.gie.2016.06.051","article-title":"Adverse events associated with ERCP","volume":"85","author":"Chandrasekhara V","year":"2017","journal-title":"Gastrointest Endosc."},{"key":"ref3","doi-asserted-by":"crossref","first-page":"100237","DOI":"10.1016\/j.aohep.2020.07.009","article-title":"Infected hepatic echinococcosis. Clinical, therapeutic, and prognostic aspects. A systematic review","volume":"22","author":"Castillo S","year":"2021","journal-title":"Ann Hepatol."},{"issue":"41","key":"ref4","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 K","year":"2014","journal-title":"World J Gastroenterol."},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.amjsurg.2005.09.014","article-title":"Endoscopic retrograde cholangiography for intrabiliary rupture of hydatid cyst","volume":"191","author":"Galati G","year":"2006","journal-title":"Am J Surg."},{"key":"ref6","doi-asserted-by":"crossref","first-page":"e1607","DOI":"10.1590\/0102-672020210003e1607","article-title":"Does age influence in endoscopic therapeutic success on the biliary tract?","volume":"34","author":"Hybner L","year":"2022","journal-title":"ABCD Arq Bras Cir Dig."},{"issue":"3","key":"ref7","doi-asserted-by":"crossref","first-page":"436","DOI":"10.5604\/01.3001.0009.8599","article-title":"Cholangiohydatidosis: an infrequent cause of obstructive jaundice and acute cholangitis","volume":"16","author":"Manterola C","year":"2017","journal-title":"Ann Hepatol."},{"issue":"9392","key":"ref8","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1016\/S0140-6736(03)14573-4","article-title":"Echinococcosis","volume":"362","author":"McManus DP","year":"2003","journal-title":"Lancet."},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1002\/jhbp.509","article-title":"Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis","volume":"25","author":"Miura F","year":"2018","journal-title":"J Hepatobiliary Pancreat Sci."},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/SLE.0000000000000861","article-title":"Treatment of hepatic hydatid disease: role of surgery, ERCP, and percutaneous drainage: a retrospective study","volume":"31","author":"Muhammedoglu B","year":"2020","journal-title":"Surg Laparosc Endosc Percutan Tech."},{"issue":"10","key":"ref11","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1002\/jhbp.496","article-title":"Indications and techniques of biliary drainage for acute cholangitis in updated Tokyo Guidelines 2018","volume":"24","author":"Mukai S","year":"2017","journal-title":"J Hepatobiliary Pancreat Sci."},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1148\/radiographics.20.3.g00ma06795","article-title":"Hydatid disease: radiologic and pathologic features and complications","volume":"20","author":"Pedrosa I","year":"2000","journal-title":"Radiographics."},{"issue":"6","key":"ref13","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/S0016-5107(98)70041-0","article-title":"Effectiveness of endoscopic sphincterotomy in complicated hepatic hydatid disease","volume":"48","author":"Rodriguez AN","year":"1998","journal-title":"Gastrointest Endosc."},{"issue":"7","key":"ref14","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.12998\/wjcc.v8.i7.1203","article-title":"Thoracic hydatid disease: a radiologic review of unusual cases","volume":"8","author":"Saeedan MB","year":"2020","journal-title":"World J Clin Cases."},{"key":"ref15","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1007\/s00535-015-1096-6","article-title":"Current status of preoperative biliary drainage","volume":"50","author":"Umeda J","year":"2015","journal-title":"J Gastroenterol."},{"issue":"2","key":"ref16","first-page":"e00075","article-title":"Echinococcosis: advances in the 21st century","volume":"32","author":"Wen H","year":"2019","journal-title":"Clin Microbiol Rev."}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":["ABORDAGEM TERAP\u00caUTICA DA DOEN\u00c7A HID\u00c1TICA COMPLICADA: PAPEL DA COLANGIOPANCREATOGRAFIA RETR\u00d3GRADA ENDOSC\u00d3PICA NA COLANGIOHIDATIDOSE"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-67202022000100408&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T08:26:57Z","timestamp":1701678417000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202022000100408&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":16,"alternative-id":["S0102-67202022000100408"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020220002e1699","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e1699"}}