Acute pancreatitis revealing an isolated hydatid pancreatic cyst simulating a pseudocyst: A case report

Afilal, Ihssane; Abbou, Widad; Oukrid, Khaoula; Aichouni, Narjisse; Nasri, Siham; Kamaoui, Imane; Skiker, Imane

doi:10.1016/j.radcr.2023.01.064

Cited by 2 publications

(1 citation statement)

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“…Laparoscopic surgery in hydatid pathology presents fewer limitations compared to the percutaneous approach and is credited with superior outcomes over open surgery regarding operative duration, complications, hospitalization costs, and patient satisfaction. Initially restricted to hepatic localizations, laparoscopy is now indicated for extrahepatic localizations such as splenic, peritoneal, and pancreatic hydatid cysts [36,38,47,48].…”

Section: Discussionmentioning

confidence: 99%

Primary Hydatid Cyst of the Pancreas: A Literature Review on a Rare and Challenging Occurrence of Echinococcosis

Mihetiu,

Bratu,

Sabau

et al. 2024

Cureus

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Hydatid disease is caused by the Echinococcus tapeworm and is a zoonosis that endemically affects certain geographic areas with a high prevalence in animal husbandry. Due to globalization, the pathology can also be encountered beyond these preferred geographic areas. It predominantly affects the liver and lungs, with pancreatic localizations of hydatid cysts being rare and posing a challenge for differential diagnosis and surgical tactics. The present study aimed to provide a recent scoping of the literature on this type of localization, analyzing demographic data, therapeutic management, and postoperative outcomes. It was observed that females are more frequently affected in pancreatic hydatid localizations (p < 0.001), with the most common symptomatology represented by abdominal pain. The preferred localization was at the level of the pancreatic tail (32.5%), followed by cephalic localizations (25%). The preferred surgical approach was open surgery, with an observed preference for open surgery in specific localizations, such as the head, isthmus, and body of the pancreas (p < 0.001). Radical procedures are more commonly used than conservative ones (52.5% vs. 47.5%), and paradoxically, although less invasive, procedures such as inactivation and drainage are associated with more frequent complications (p = 0.03). This type of localization, due to the elements of local anatomical topography, requires adequate preparation in biliopancreatic surgery, considering that sometimes preoperative diagnosis is not oriented, and intraoperative records may require extensive interventions. Our research encompassed a thorough review of literature spanning the last decade using PubMed and Google Scholar databases, focusing specifically on cases involving primary hydatid cysts found within the pancreas. Thirty-three relevant articles were published between 2014 and 2024. In addition, we presented a unique case study that illustrates this uncommon occurrence.

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Section: Discussionmentioning

confidence: 99%