Hydatid cyst of the pancreas: A case report and brief review

Abstract

A 45-year-old male farmer had noticed a swelling of the left side of his hypochondrium that persisted for six months. He had no history of severe abdominal pain, jaundice, fever, or weight loss. On evaluation, the patient was found to have hydatid cyst of the pancreas. He was managed surgically. In this case report, we emphasize the preoperative diagnosis in hydatid cyst of the pancreas.

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

“…Karaman et al [13] 2012 [14] 2012 India English Case Report 1 30 F Abdominal pain Tail 62 × 57 Positive Suryawanshi et al [15] 2011 India English Case Report 1 20 M Epigastric mass + epigastric pain Head 80 × 80 NS Varshney et al [16] Somani et al [17] 2011 India English Case Report 1 30 F Epigastric mass + epigastric pain Head NS NS Masoodi et al [18] 2011 India English Case Report 1 45 M LUQ mass Tail 70 × 60 Positive Makni et al [19] 2011 Tunisia English Case Report 1 30 F Epigastric mass + discomfort Body 80 Positive Bhat et al [20] 2011 India English Case Report 1 4 F Jaundice + epigastric mass Head + Body 150 × 100 Negative Cankorkmaz et al [21] 2011 Turkey English Case Report 1 7 F Epigastric mass + weight loss Tail + Body 70 × 60 Negative Dalal et al [22] 2011 India English Case Report 1 48 M Epigastric fullness + fever Tail 80 × 50 Not-done Agrawal et al [23] 2011 India English Case Report 1 5 F Jaundice + abdominal pain Head 120 × 100 NS Küçükkartallar et al [24] 2011 Tavusbay et al [25] 2011 Turkey English Case Report 1 50 M Abdominal mass NS NS Positive Derbel et al [26] 2010 [27] 2010 India English Case Report 1 30 F Jaundice + epigastric mass Head 80 × 60 Not-done Boubbou et al [28] 2010 Morocco English Case Report 1 38 M Jaundice + epigastric pain Head NS NS Shah et al [29] [30] 2010 [32] 2010 Romania English Case Report 1 49 F Epigastric pain + bloating + vomiting…”

“…Trigui et al [4] Patil et al [6] USG + CT Kaushik et al [7] USG + CT Baghbanian et al [8] USG + CT Distal pancreatectomy + necrozectomy + partial nephrectomy Karaman et al [13] USG + CT [14] USG + CT Suryawanshi et al [15] USG + CT Cyst evacuation + omentoplasty-laparoscopic Varshney et al [16] Somani et al [17] USG Masoodi et al [18] USG + CT Distal pancreatectomy + splenectomy Dalal et al [22] USG + CT Cyst excision along with tail of the pancreas Agrawal et al [23] USG + MRCP Enucleation + cholangiography + cholecystectomy + cystography Tavusbay et al [25] USG + CT Partial cystectomy + omentoplasty + splenectomy + mesenteric cyst excision Wound infection Albendazole-6 mo No 12 Liver + spleen + peritoneum 13 Derbel et al [26] USG + CT …”

“…The differential diagnosis of PHCs include neoplastic (cystadenoma, cystadenocarcinoma, gastroenteropancreatic neuroendocrine tumors, vasculary tumors, metastatic cystic lesions) or non-neoplastic (congenital pancreatic cysts, pseudocysts) cystic lesions [16,19,27] . Diagnosis of cysts that cannot be made using noninvasive techniques can be made by taking either a biopsy from the lesion or an aspiration cytology sample from cyst fluid via percutaneous or endo-ultrasonographic techniques [4,18,26] . Using percutaneous fine needle aspiration cytology (FNAC) for the differential diagnosis of cystic pancreatic lesion, Varshney et al [16] showed hooklets of hydatid cyst cytologically.…”

A case of pancreatic cyst hydatid misdiagnosed as pancreatic cancer

“…Water lily sign, water attenuation and calcifications detected by CT scanning are also highly suggestive of hydatid cyst [4]. Endoscopic ultrasound can provide characterization of cystic lesions of the pancreas.…”

“…Primary hydatid disease of the pancreas is indeed rare [2]. So the diagnosis of pancreatic hydatid cyst may be a challenge.…”