Thoracobiliary Fistula of Calcified Hydatid Cyst of the Liver

Thoracobiliary fistula is a rare complication of hydatid cystdisease of the liver especially in calcified form. given the rarityand high mortality of such fistula, it is not surprising thatthere is no consensus about surgical treatment of this condition.in the present paper we report two cases of thoracobiliaryfistula of complicated calcified hydatid cyst of the liver. a 64-year-old man with cough and biliary sputum and a 66-year-oldman with cough and right biliary pleural effusion (pleurobiliaryfistula). the patients underwent left hepatectomy withcholecystectomy and t-tube choledochal drainage in one patientand successful decortication of the lung, and cystectomywith excision of calcified pericystectomy of the liver in anotherpatient. pathologic examinations revealed calcified hydatidcysts of the liver. because of poor prognosis of thoracobiliaryfistula, radical surgical intervention is recommended.iran j med sci 2010; 35(1): 65-68.