Cholangiohydatidosis: an uncommon cause of acute cholangitis.

Cholangitis is a common clinical entity. Cholangitis from hydatid disease is far less common. We present a case of acute cholangitis caused by cystobiliary communications in a patient with disseminated hydatidosis. Treatment in such cases is usually by a combined endoscopic and surgical approach. In this case, surgery was contraindicated and endoscopic cholangiopancreatography provided the last source for adequate biliary drainage.