Abstract
A 35-year-old male, previously healthy, presented with epigastric and right hypochondrial pain, as well as a change in urine color. The diagnosis of a hepatic hydatid cyst with complications was confirmed based on clinical findings, ultrasound, and serology. The patient was treated with albendazole and underwent an ERCP (endoscopic retrograde cholangiopancreatography) for biliary involvement. Hydatid cysts are caused by Echinococcus granulosus, transmitted through contact with infected animals or contaminated food. The disease can lead to severe complications such as biliary obstruction, jaundice, and anaphylaxis. Early diagnosis through imaging and serology is essential, while treatment often involves a combination of antiparasitic therapy and surgical or percutaneous procedures. Long-term monitoring is required to detect recurrence, which can occur years after treatment.