In abandoned VP shunts, migration into a non-sterile cavity dictates prompt removal, especially after symptoms of infection present. Additionally, careful monitoring for signs of peritonitis or other symptoms for a dedicated period of time is necessary. To the authors' best knowledge, this is the first case of an occult shunt migration through the patient's back that presented with a weeping abscess.
A complicated hepatic hydatid cyst in the biliary tract is a cause of cholestasis that we must consider in an endemic geographical area. ERCP is a valuable technique for its diagnosis. In our experience, this eventuality represents 2.6% of the indications for ERCP in biliary diseases.
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