Hydatid Cyst of the Pancreas: An Unusual Cause of Abdominal Pain

Cherouaqi, Yasmine; Nadi, Anass; Idrissi, Anass; Lamghari, Abdennaceur El Idrissi; Rouibaa, Fedoua

doi:10.7759/cureus.20614

Cited by 3 publications

(4 citation statements)

References 10 publications

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“… 4 Typically, it's incidentally detected during diagnostic procedures and is often not accompanied by the secondary form of the disease. 3 , 5 Regarding the pancreas, the parasite predominantly impacts the head (57%), followed by the body (24%) and the tail (17%). 6 Primary pancreatic hydatid cysts frequently lead to obstructive jaundice.…”

Section: Discussionmentioning

confidence: 99%

“…A primary pancreatic hydatid cyst (PHC) represents one of the least common forms (0.14%–2% occurrence) 4 . Typically, it's incidentally detected during diagnostic procedures and is often not accompanied by the secondary form of the disease 3,5 . Regarding the pancreas, the parasite predominantly impacts the head (57%), followed by the body (24%) and the tail (17%) 6 .…”

Section: Discussionmentioning

confidence: 99%

“… 4 It is usually diagnosed by accident as for the pancreas itself, the parasite affects the head the most (57%), the body (24%) and tail (17%) respectively. 5 , 6 Most of the hydatid cysts affecting the abdomen are asymptomatic. 7 However the most common symptoms are LUQ or epigastric pain, nausea, vomiting and fever that come with mass effect symptoms based on the location.…”

Section: Introductionmentioning

confidence: 99%

“…Primary pancreatic hydatid cyst (PHC) is one of the rarest variants (0.14%–2%) 4 . It is usually diagnosed by accident as for the pancreas itself, the parasite affects the head the most (57%), the body (24%) and tail (17%) respectively 5,6 . Most of the hydatid cysts affecting the abdomen are asymptomatic 7 .…”

Section: Introductionmentioning

confidence: 99%

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Primary pancreatic hydatid cyst: A rare case report and diagnostic challenges

Zahir,

Rafiee,

Kargar

2024

Clinical Case Reports

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Key Clinical MessageIn cystic lesions of the pancreas, hydatid cyst should be considered in the differential diagnoses and its presence should be ruled out before any invasive interventions. Serological tests along with imaging studies related to hydatid cyst diagnostic indicators should be performed in people who live in Echinococcus granulosus endemic areas and suffer from cystic lesions of the gastrointestinal tract.AbstractPrimary pancreatic hydatid cysts, caused by the tapeworm Echinococcus granulosus, represent a rare occurrence often challenging to diagnose due to their similarity to other pancreatic conditions. This case report outlines a 67‐year‐old male presenting with jaundice and cholestasis but lacking typical symptoms associated with pancreatic hydatid cysts. Laboratory findings revealed elevated bilirubin levels, liver enzyme abnormalities, and tumor markers, prompting imaging studies that indicated a cystic mass near the pancreatic head. Misdiagnosed initially as a mucinous cystic neoplasm, the patient underwent Whipple surgery, unveiling a large cystic lesion upon examination.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Primary pancreatic hydatid cyst: A rare case report and diagnostic challenges

Zahir,

Rafiee,

Kargar

2024

Clinical Case Reports

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Primary pancreatic hydatid cyst: A case report and a brief review of the literature

Ali,

Hawramy,

Esmaeil

et al. 2024

World Acad Sci J

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Primary pancreatic hydatid cyst is a rare form of echinococcosis, even in endemic areas. The present study reports the case of a 67-year-old male patient with a primary pancreatic hydatid cyst who presented with severe epigastric pain, vomiting and fever for a period >2 weeks. An endoscopic ultrasound revealed a cystic lesion in the pancreatic head with a solid component. A computed tomography scan and magnetic resonance imaging confirmed the ultrasound finding. Under general anesthesia, the patient underwent total pancreatectomy and splenectomy. A histopathological examination confirmed a primary pancreatic hydatid cyst. Hydatid cysts rarely occur primarily in the pancreas. They may spread to the pancreas through the hematogenous route. Various procedures can be performed for cyst removal, depending on the size and location of the cysts. Open surgery, laparoscopy and hybrid options are available; however, to date, the gold standard is open surgery to prevent spillage and reduce the chance of recurrence. Although rare, primary pancreatic hydatid cysts can occur, with surgery being the main treatment modality due to the vague preoperative diagnosis based on imaging.

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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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Hydatid Cyst of the Pancreas: An Unusual Cause of Abdominal Pain

Cited by 3 publications

References 10 publications

Primary pancreatic hydatid cyst: A rare case report and diagnostic challenges

Primary pancreatic hydatid cyst: A rare case report and diagnostic challenges

Primary pancreatic hydatid cyst: A case report and a brief review of the literature

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

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