Intrabiliary rupture of a hydatid liver cyst is infrequently reported, but
may present with symptoms of choledocholethiasis or cholangitis, We report
a case of hydatid liver disease presenting as recurrent pancreatitis, and d
iscuss its clinical, radiological and surgical treatments. Hydatid liver di
sease has a diverse clinical spectrum, and a diagnosis of acute pancreatiti
s should be considered in patients with hydatid liver disease presenting wi
th unexplained abdominal pain.