HYDATID DISEASE IN CHILDREN AND BILIARY FISTULAS

Echinococcosis is a parasitic infection caused by the larva of Echinococcus granulosus and is endemic in many countries where it also represents a major public health problem. There are many different surgical techniques for the management of echinococcosis described, and most common and serious complication of liver cyst management is occurrence of biliary fistula. We present two cases with biliary fistulas that are managed conservatively in a non-endemic region center. Treatment of biliary fistulas in children is underreported unlike in the adults where different modalities of prevention and fistula management have been widely described. Although there are various techniques reported, treatment of hydatid disease and its complications is complex and challenging especially in pediatric age group.