We hereby report a rare case of primary pancreatic hydatid cyst. Hydatid cyst of the pancreas is rare and it can present as pancreatitis or obstructive jaundice as well due to compression of bile duct. A 35-year-old male patient presented with complaints of jaundice and itching all over the body of 20 days duration associated with pain. A mass of size 10 cm × 8 cm was palpated in epigastrium region extending onto the right hypochondrium. Radiologically diagnosed as a pseudocyst of the pancreas, which on operation was diagnosed as hydatid cyst.
Pheochromocytoma is a tumor of adrenal medulla. Pheochromocytoma arising outside the adrenal medulla is commonly called paraganglioma. These tumours arise from paraganglia of the autonomic nervous system, most commonly occurring in head and neck region, and much less frequently in the retroperitoneum. But when they occur below the diaphragm in the organ of zuckerkandl or retroperotoneum, they are also called as extra adrenal pheochromocytoma. Composite pheochromocytoma/paraganglioma is a tumor composed of pheochromocytoma/ paraganglioma along with another tumor of neural crest origin composed of either a ganglio-neuroma/ ganglioneuroblastoma /neuroblastoma or schwannoma. They are mostly located in the adrenal gland, while extra adrenal composite pheochromocytoma is extremely rare. Only 4 cases in the retroperitoneum have been described in the literature. Composite tumors of the adrenal medulla are rare tumors accounting for less than 3% of all sympathoadrenal tumors. We report a rare case of retroperitoneal extra adrenal composite pheochromocytoma in a 19 year old female with a history of 3 months amenorrhoea.
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