Trans-papillary endoscopic naso-biliary drainage of a hepatic abscess - presumably hydatid in origin

This is a report on a 60-year-old diabetic female with hepatic abscess and obstructive jaundice with cholangitis which was treated endoscopically with sphincterotomy and naso-biliary drainage resulting in complete resolution of cholangitis and substantial decrease in the size of the abscess cavity. We presume that the pathology of the cavity was a ruptured hydatid cyst with secondary obstruction and infection. To our knowledge this is the first case reported from Saudi Arabia