A 65 year old male was admitted with symptoms of obstructive jaundice. On right upper quadrant ultrasound, a cystic mass was seen at the porta hepatis. The gall bladder and common bile duct weren’t discernible. The intrahepatic biliary ducts were dilated and did not communicate with the cystic lesion. To clinch the final diagnosis, aspiration of the cyst was performed under ultrasound guidance. During the process, the patient went into anaphylactic shock and had to be resuscitated. Following aspiration of the cyst, there was a reduction in the size of the swelling. In a repeat ultrasound, the gall bladder was well visualized. Soon after, the patient’s jaundice began to regress. Microscopic examination of the fluid confirmed the diagnosis. The patient has been prescribed Albendozole and was scheduled for surgery.

Key words: Obstructive jaundice; Hydatid cyst; Dilated intrahepatic biliary radicals; Anaphylaxis  
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Current Issue

October-December 2019 (Volume 11, Issue 4)


The 6th World Conference on Research Integrity (WCRI) is to be held on June 2-5, 2019 in Hong Kong.

The WCRI is the largest and most significant international conference on research integrity. Since the first conference in Lisbon in 2007, it has given researchers, teachers, funding agencies, government officials, journal editors, senior administrators, and research students opportunities to share experiences and to discuss and promote integrity in research. Read more:


TDR Clinical Research and Development Fellowships

Call for applications

Deadline for submission: 7 March 2019, 16:00 (GMT)

TDR provides fellowships for early- to mid-career researchers and clinical trial staff (e.g. clinicians, pharmacists, medical statisticians, data managers, other health researchers) in low- and middle-income countries (LMICs) to learn how to conduct clinical trials. Read more:

Meta-Analysis Workshops in New York, USA, and London, UK, in April and May 2019

Don't miss this exceptional opportunity to learn how to perform and report a Meta-analysis correctly. Two Meta-analysis workshops are organized in April and May 2019 by Dr. Michael Borenstein in New York, USA (April 08-10, 2019) and London, UK (May 27-29).

About the Instructor

Dr. Michael Borenstein, one of the authors of Introduction to Meta-Analysis, is widely recognized for his ability to make statistical concepts accessible to researchers as well as to statisticians. He has lectured widely on meta-analysis, including at the NIH, CDC, and FDA. Read more: