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November 1960

Recurrent Echinococcal Cysts in the Common Duct: Removal and Transhepatic Ductal Drainage with Report of a Case

Arch Surg. 1960;81(5):768-770. doi:10.1001/archsurg.1960.01300050090017

Echinococcal disease is not prevalent in the United States; it is seen only rarely in many of the largest hospitals. We believe the case reported here to be of special interest, not only because of the rarity of the disease, but also because the patient had recurrent episodes of biliary obstruction caused by hydatid cysts. In a previous study1 of 40 proved cases of primary hydatid cysts of the liver, a third of the patients gave a history of biliary colic and jaundice. The subject of this report also gave such a history; his biliary symptoms resulted from obstruction of the common duct by echinococcal cysts originating from a mother cyst in the right lobe of the liver. The daughter cysts emptied into one of the intrahepatic ducts, whence they entered the common duct.

Report of Case  The patient was a 42-year-old white man born and raised in Poland.