SEVERE ACUTE CHOLANGITIS SECONDARY TO CHOLANGIOHYDATIDOSIS CAUSED BY COMPLICATED HEPATIC HYDATID DISEASE

Quiñones Valverde L.E.; Leon Quispe D.A. · Revista de la Facultad de Medicina Humana (2026) · DOI: 10.25176/rfmh.v26i2.7892

Resumen

Echinococcosis is a zoonosis caused by tapeworms of the genus Echinococcus, and Echinococcus granulosus is the main causative agent of hepatic hydatid disease. In Peru, this disease is endemic in rural areas and represents an important cause of hepatobiliary disease. Hepatic hydatid disease is usually asymptomatic; however, it may be complicated by rupture into the biliary tract, causing cholangiohydatidosis, obstructive jaundice, and biliary sepsis. We present the case of an 18-year-old woman with epidemiological risk factors who developed severe acute cholangitis secondary to complicated hepatic hydatid disease. Because endoscopic retrograde cholangiopancreatography was not available, surgical biliary drainage with placement of a Kehr-type T-tube drain was performed, along with broad-spectrum antibiotics and albendazole. This case highlights the importance of considering hydatid disease in cases of obstructive cholangitis in endemic areas. Article published by the Revista de la Facultad de Medicina Humana of Universidad Ricardo Palma. It is an open access article, distributed under the terms of the Creative Commons License: Creative Commons Attribution 4.0 International, CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/), which allows non-commercial use, distribution and reproduction in any medium, provided that the original work is duly cited. For commercial use, please contact