An incidentally diagnosed primary pancreatic body hydatid cyst: A case report and literature review

Al Laham, Omar; Abdul Khalek, Gheed; Alboushi, Hazar; Abazid, Eias; Darwish, Abdo; Hamza, Ali

doi:10.1016/j.ijscr.2024.109392

Cited by 1 publication

(2 citation statements)

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Section: Introductionmentioning

confidence: 99%

“…Imaging with CT scan or MRI can pose challenges in differential diagnosis, as pancreatic hydatid disease is often confused with pancreatic pseudocysts or pancreatic cystadenomas and much less commonly with pancreatic cystadenocarcinomas (Figures 1, 2, 3) [9]. The percutaneous approach using PAIR (Puncture, Aspiration, Injection, and Reaspiration) represents a rarity due to the risk of intraprocedural contamination, inadequate cyst evacuation, or complications arising from proximity to important vascular structures [10].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%