Skip to content
DraconiticResearch
Search Sources API
197,768 studies31 sourcesUpdated 58 min ago
Peer-reviewedCC BYCureus

Intraportal Rupture of a Hepatic Hydatid Cyst Complicated by Arterioportal Fistula and Hepatic Artery Pseudoaneurysm.

  • Kawtar Khaissidi1
  • Ismail Chaouche1
  • Hajar Ouazzani1
  • Amal Akammar1
  • Nizar El Bouardi1
  • Meriem Haloua1
  • Badreddine Alami1
  • Meryem Boubbou1
  • Mustapha Maaroufi1
  • Moulay Youssef Alaoui Lamrani1
  1. 1Department of Radiology, Hassan II University Hospital, Fez, MAR.
Read full textPDFDOICite

Abstract

A 71-year-old woman with known hepatic hydatid disease presented with fever, abdominal pain, vomiting, and jaundice. Magnetic resonance imaging (MRI) with MR cholangiopancreatography revealed rupture of a right hepatic hydatid cyst with intraportal hydatid dissemination associated with a hepatic artery pseudoaneurysm and an arterioportal fistula. The patient rapidly developed severe acute cholangitis with multiorgan failure. Endoscopic retrograde cholangiopancreatography (ERCP) allowed extraction of the hydatid material and biliary stenting, followed by selective endovascular embolization of the hepatic artery pseudoaneurysm. Despite combined endoscopic and interventional management, the patient progressed to refractory multiorgan failure and died. The present case illustrates a rare and life-threatening vascular complication of hepatic hydatid disease, emphasizing the importance of early imaging diagnosis and multidisciplinary management. In the present case, simultaneous portal and arterial involvement was associated with an unfavorable outcome.

Related

  1. Left thoracotomy for redo left ventricular pseudoaneurysm repair after ventricular septal rupture surgery
    JTCVS techniquesPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  2. Integration of computed tomography and endoscopic findings in identifying pseudoaneurysm rupture associated with duodenal penetration by pancreatic head cancer: A case report
    Kotaro Hosoi, Anri Ishikawa, Takahiro Matsumoto +7
    Radiology case reportsPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  3. Integration of computed tomography and endoscopic findings in identifying pseudoaneurysm rupture associated with duodenal penetration by pancreatic head cancer: A case report
    Kotaro Hosoi, MD, Anri Ishikawa, MD, Takahiro Matsumoto, MD +7
    Radiology Case ReportsPeer-reviewedCC BY-NC-ND 4.0Full textSurgery & anaesthesiaDOAJPMC
  4. Ischemic Stroke as the Presenting Feature of Anterior STEMI Complicated by LV Thrombus and Pseudoaneurysm
    Ibrahim Hasan, Nebras Hasan, Pierre Sfeir +3
    JACC Case ReportsPeer-reviewedCC BY 4.0Full text1 citedCardiovascular medicinePMCDOAJ
  5. Giant infected splenic pseudocyst complicated by rupture in a patient with chronic Q fever
    Jonathan Lee, Michelle Chen, Travis H. Smith +5
    Radiology case reportsPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC

Cite

BibTeXRIS
BibTeX
@article{khaissidi2026intraportal,
  title = {{Intraportal Rupture of a Hepatic Hydatid Cyst Complicated by Arterioportal Fistula and Hepatic Artery Pseudoaneurysm.}},
  author = {Kawtar Khaissidi and Ismail Chaouche and Hajar Ouazzani and Amal Akammar and Nizar El Bouardi and Meriem Haloua and Badreddine Alami and Meryem Boubbou and Mustapha Maaroufi and Moulay Youssef Alaoui Lamrani},
  journal = {Cureus},
  year = {2026},
  month = sep,
  doi = {10.7759/cureus.117020},
  url = {https://europepmc.org/article/MED/42948790},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Intraportal Rupture of a Hepatic Hydatid Cyst Complicated by Arterioportal Fistula and Hepatic Artery Pseudoaneurysm.
AU  - Kawtar Khaissidi
AU  - Ismail Chaouche
AU  - Hajar Ouazzani
AU  - Amal Akammar
AU  - Nizar El Bouardi
AU  - Meriem Haloua
AU  - Badreddine Alami
AU  - Meryem Boubbou
AU  - Mustapha Maaroufi
AU  - Moulay Youssef Alaoui Lamrani
PY  - 2026
DA  - 2026/09/27
JO  - Cureus
DO  - 10.7759/cureus.117020
UR  - https://europepmc.org/article/MED/42948790
AB  - A 71-year-old woman with known hepatic hydatid disease presented with fever, abdominal pain, vomiting, and jaundice. Magnetic resonance imaging (MRI) with MR cholangiopancreatography revealed rupture of a right hepatic hydatid cyst with intraportal hydatid dissemination associated with a hepatic artery pseudoaneurysm and an arterioportal fistula. The patient rapidly developed severe acute cholangitis with multiorgan failure. Endoscopic retrograde cholangiopancreatography (ERCP) allowed extraction of the hydatid material and biliary stenting, followed by selective endovascular embolization of the hepatic artery pseudoaneurysm. Despite combined endoscopic and interventional management, the patient progressed to refractory multiorgan failure and died. The present case illustrates a rare and life-threatening vascular complication of hepatic hydatid disease, emphasizing the importance of early imaging diagnosis and multidisciplinary management. In the present case, simultaneous portal and arterial involvement was associated with an unfavorable outcome.
SN  - 2168-8184
ER  -