THE ROLE OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREOTOGRAPHY AND CHOLANGIOSCOPY IN BILIARY OBSTRUCTION SECONDARY TO HYDATID CYST

A 45 years old female presented with acute severe cholangitis. She had an occupational history of agricultural work in Eastern European Littoral area. Gallstones disease was suspected but radiological imaging demonstrated well-defined encapsulated cystic lesions within the liver with gross biliary dilatation suggesting active Hydatid disease. The patient was commenced on albendazole but the symptoms of biliary obstruction did not improve. The patient underwent endoscopic retrograde cholangiopancreatography (ERCP) and cholangioscopy. The video attached demonstrates the findings in the ERCP and cholangioscopy.