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The goal of this work was to describe secondary biliary attacks due to liver hydatid cyst surgery and see their different physiopathological mechanisms again. We report three cases of secondary sclerosing cholangitis. There were three women aged 20, 40 and 60 years, respectively. Icterus was the primary sion in the three cases. The three patients were operated on for liver hydatid cyst with a peroperative injection of the scolicide product. The diagnosis of secondary sclerosing cholangitis was based on the thin aspect of the biliary ducts. The generally benign liver hydatid cyst disease may be the cause of a serious and final biliary attack.
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