[ERCP in bile duct dilatation with jaundice due to spontaneous hydatid cyst rupture. Diagnosis, differential diagnosis, therapy and result]

We report the case of a 17 years old Turkish patient hospitalized for colics and jaundice. Ultrasound, computer tomography and ERC showed enlarged intra- and extrahepatic bile ducts. The further investigations documented the rupture of a hepatic hydatid cyst into the biliary tract with obstructive jaundice. Other causes of jaundice as cystic duct malformation, calculi, tumours could be ruled out by surgery and histology. Etiology, diagnosis and treatment of hydatid jaundice are discussed.

Segmental renal autotransplantation in a patient with a single kidney affected by arteriovenous malformation and aneurysm

A 24 year old man with severe renovascular hypertension was diagnosed as having an arteriovenous malformation of the left kidney with an aneurysm of the renal artery 12 years after right nephrectomy. Surgical reconstruction proved unsuccessful, but subsequent autotransplantation of the lower segment of the kidney 18 hours later saved the patient. He made an excellent recovery and is now normotensive and able to lead a normal life.