Acute pancreatitis due to pancreatic hydatid cyst: a case report and review of the literature

Makni, A.; Jouini, Mohamed; Kacem, M.; Safta, Zoubeir Ben

doi:10.1186/1749-7922-7-7

Cited by 27 publications

(45 citation statements)

References 10 publications

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“…MRCP images of this patient were consistent with a Type-Ⅱ choledocal cyst; 12 This patient had two previous hepatic hydatid cyst surgeries. He had cysts in liver, spleen, pancreas, and the area below the incision.…”

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confidence: 59%

“…Iran English Case Report 1 46 M Epigastric pain + fever Tail 60 × 50 NS Gundes et al [9] 2013 [10] 2012 India English Case Report 1 6 M Jaundice + fever + epigastric mass Head 54 × 41 Not-done Kushwaha et al [11] 2012 India English Case Report 1 40 M Epigastric mass + epigastric pain Tail + Body NS Positive Makni et al [12] 2012 Tunisia English Review 1 38 M Abdominal pain + vomiting + nausea Tail + Body 100 × 90 Positive…”

Section: Methodsmentioning

confidence: 99%

“…In addition, the pancreatic duct was stented, and external drainage dramatically improved after the stenting procedure; side in the liver, with the second most common residence being the lung. A number of hypotheses regarding the mode of passage of E. granulosus to pancreas have been postulated, the most accepted is the hematogenous dissemination discussed above [3,8,[10][11][12]14,27] . The second route involves passage of cystic elements into the biliary system and then to the pancreatic canal and pancreas [3,10,14,27] .…”

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confidence: 99%

“…The second route involves passage of cystic elements into the biliary system and then to the pancreatic canal and pancreas [3,10,14,27] . The third route involves passage of cystic elements into lymphatic channels through the intestinal mucosa and then to pancreatic tissue rich in lymphatic network [3,8,[10][11][12]14,20,27] . The fourth route is direct passage of larvae into pancreatic tissue, bypassing the liver, via pancreatic veins [20] .…”

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confidence: 99%

“…Pancreatic cysts are solitary 90%-91% of the time, and their pancreatic distribution is heterogeneous [4,19,26] . According to data from the lit- Gallbladder erature, 50%-58% of PHCs are found in the pancreatic head, 24%-34% in the pancreatic body, and 16%-19% in the pancreatic tail [4,5,12,19] . The rich vascular network found in the pancreatic head suggests that larvae reach this region via systemic circulation [4,26] .…”

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confidence: 99%

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Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

Akbulut¹,

Yavuz²,

Söğütçü³

et al. 2014

WJGS

116

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AIM:To overview the literature on pancreatic hydatid cyst (PHC) disease, a disease frequently misdiagnosed during preoperative radiologic investigation. METHODS:PubMed, Medline, Google Scholar, and Google databases were searched to identify articles related to PHC using the following keywords: hydatid cyst, hydatid disease, unusual location of hydatid cyst, hydatid cyst and pancreas, pancreatic hydatid cyst, and pancreatic echinococcosis. The search included letters to the editor, case reports, review articles, original articles, meeting presentations and abstracts that had been published between January 2010 and April 2014 without any restrictions on language, journal, or country. All articles identified and retrieved which contained adequate information on the study population (including patient age and sex) and disease and treatment related data (such as cyst size, cyst location, and clinical management) were included in the study; articles with insufficient demographic and clinical data were excluded. In addition, we evaluated a case of a 48-year-old female patient with PHC who was treated in our clinic. RESULTS:A total of 58 patients, including our one new case, (age range: 4 to 70 years, mean ± SD: 31.4 ± 15.9 years) were included in the analysis. Twentynine of the patients were female, and 29 were male. The information about cyst location was available from studies involving 54 patients and indicated the following distribution of locations: pancreatic head (n = 21), pancreatic tail (n = 18), pancreatic body and tail (n = 8), pancreatic body (n = 5), pancreatic head and body (n = 1), and pancreatic neck (n = 1). Extra-pancreatic locations of hydatid cysts were reported in the studies involving 44 of the patients. Among these, no other focus than pancreas was detected in 32 of the patients (isolated cases) while 12 of the patients had hydatid cysts in extra-pancreatic sites (liver: n = 6, liver + spleen + peritoneum: n = 2, kidney: n = 1, liver + kidney: n = 1, kidney + peritoneum: n = 1 and liver + lung: n = 1). Serological information was available in the studies involving 40 patients, and 21 of those patients were serologically positive and 15 were serologically negative; the remaining 4 patients underwent no serological testing. Information about pancreatic cyst size was available in the studies involving 42 patients; the smallest cyst diameter reported was 26 mm and the largest cyst diameter reported was 180 mm (mean ± SD: 71.3 ± 36.1 mm). Complications were available in the studies of 16 patients and showed the following distribution: cystobiliary fistula (n = 4), cystopancreatic fistula (n = 4), pancreatitis (n = 6), and portal hypertension (n = 2). Postoperative follow-up data were available in the studies involving 48 patients and postoperative recurrence data in the studies of 51 patients; no cases of recurrence occurred in any ORIGINAL ARTICLE Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 10.4240/wjgs.v6.i10.190 World J Gastro...

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confidence: 59%

Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

Akbulut¹,

Yavuz²,

Söğütçü³

et al. 2014

WJGS

116

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A Painless Mass in the Pancreas

2015

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Extra-hepatic intra-abdominal hydatid cyst: which characteristic, compared to the hepatic location?

et al. 2012

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Hydatid cysts are mostly located in the liver, followed by the lung. Primary and isolated extrahepatic intra-abdominal hydatid cysts (PIEHC) are rare and only a few sporadic series have been reported. This article aims to study the epidemiological, diagnostic difficulties and therapeutic principles of PIEHC. More over, it aims to make comparison between PIEHC and the liver location of the cyst concerning all these data. We report a retrospective study from January 1995 to September 2010 concerning 34 patients who underwent surgical removal of a PIEHC. The mean age was 46 years. Abdominal pain was the main symptom, and was found in 27 patients (79.4 %). Physical examination revealed an abdominal mass in 19 patients (55.9 %). In 6 patients (17.6 %) the PIEHC was incidental. Abdominal ultrasound and abdominal CT scan helped to highlight all cystic masses. The diagnosis was established preoperatively in 28 patients (84.8 %). Five patients (14.7 %) were operated with a diagnosis other than PIEHC. The diagnosis was made intraoperatively in one case (2.9 %). A laparotomy in 24 cases (70 %) was the surgical approach often used. Majority of the patients, 25 cases (73.5 %), received a conservative procedure. Only 3 patients (8.8 %) had recurrences and were reoperated. The diagnosis of PIEHC is often facilitated by means of modern imaging, however, serious diagnostic problem were found with a pancreatic location of the cyst. Complete surgical excision, when possible without major sacrifice, seems to be the best therapeutic option to reduce the risk of recurrence.

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Acute pancreatitis due to pancreatic hydatid cyst: a case report and review of the literature

Cited by 27 publications

References 10 publications

Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

A Painless Mass in the Pancreas

Extra-hepatic intra-abdominal hydatid cyst: which characteristic, compared to the hepatic location?

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