Primary pancreatic hydatid cyst: a case report and literature review

Wu, Yilei; Gong, Jun; Xiong, Wei; Yu, Xin; Lu, Xiangyu

doi:10.1186/s12876-021-01753-1

Cited by 13 publications

(23 citation statements)

References 22 publications

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“…Most of the aspects of primary PHC, including its natural history, diagnosis, and management, are not clear so far [ 8 ]. The pancreas is thought to be involved primarily through hematogenous dissemination [ 3 ]. Pancreatic hydatid involvement is solitary in a majority of cases [ 1 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Primary involvement of the pancreas by the hydatid disease is very rare. It accounts for < 2% of total systemic echinococcosis cases [ 2 ] with only 33 cases reported in literature since 2011 [ 3 ]. Pancreas being a rare site of involvement, primary isolated pancreatic hydatid cyst (PHC) may pose diagnostic and management challenges as it may mimic common pathologies like pseudocyst [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade

Kothiya

Gupta

Sarawagi

et al. 2022

Ann Hepatobiliary Pancreat Surg

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Abdominal hydatid cyst disease mostly involves the liver. Involvement of the pancreas as an isolated primary organ is rare accounting for < 2% of all systemic echinococcosis cases. It mostly involves the head of the pancreas. Symptoms depend on the location, size, and associated complications; therefore, it can have varied presentations including acute pancreatitis. On imaging, it can mimic other common pancreatic cystic lesions like pseudocyst or cystic neoplasm. Accurate preoperative diagnosis is usually difficult and requires a very high index of suspicion even in endemic areas. Herein, a case of primary isolated hydatid cyst of the pancreas that was initially diagnosed and managed as acute pancreatic pseudocyst is reported.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade

Kothiya

Gupta

Sarawagi

et al. 2022

Ann Hepatobiliary Pancreat Surg

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“…Hydatidosis is a zoonosis caused by Echinococcus granulosus. It is most commonly located in the liver (5075%) [8] . The main complications of the liver hydatid cyst are infection and rupture, especially into the biliary tract, the peritoneum and thorax [9] .…”

Section: Discussionmentioning

confidence: 99%

“…The conservative techniques are used in 75% of cases [9] . It seems adapted to an infected cyst in an emergency context as it is rapid and does not require a particular experience in liver surgery [8] . Radical surgery may be carried out if surgeon consider it technically feasible, secure and with no added risk [10] .…”

Section: Discussionmentioning

confidence: 99%

Surgical management of a hepatic hydatid cyst fistulized into the duodenum: A case report

Saidani

Saad

Belhadj

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Hydatid cyst of liver is a disease usually seen in endemic regions. Fistulization into duodenum is one of the most exceptional complications of the hydatid cyst commonly discovered during surgery. This paper aims to present and discuss a rare case of cyst ruptured into the duodenum. This case report has been reported in line with the SCARE criteria 2020. Case presentation A 44-year-old female patient, previously diagnosed with hydatid cyst of liver with deferred care due to the period of COVID 19 containment, presented with the complaints of abdominal pain and fever. Abdominal CT scan showed up a 2 cm multiseptal hydatid cyst in the segment III of the liver with an exovesiculation of 20 cm, communicating with the first duodenum. The patient underwent antrectomy involving the first duodenum and removing the cystoduodenal fistula with a Roux-en-Y anastomosis. She was discharged with full recovery on the postoperative 5th day. Clinical discussion Clinical features of hydatid cyst fistulized into the duodenum are non-specific. There are two pathognomonic symptoms, hydatidemesis and hydatidenteria.Typically, cysto-duodenal fistula is intra-operatively discovered. The CT scan is the most used morphological examination. The presence of air in the cyst should alert for the gastrointestinal fistula formation. Surgical strategies to perform should be tailored to every patient and to intra operative findings. The post-operative morbidity and mortality are underestimated in the literature. Conclusion The fistulization of Hydatid cyst into the duodenum should be evoked in front of any acute abdominal pain whether or not associated with hydatidemesis or hydatidenteria.

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“…The mainstay of therapy for a PHC is the radical resection of the PHC and albendazole administration. Surgical procedures depend on the location of the HC in the pancreas [ 3 ]. In this case report, we present the case of a PHC as an unusual cause of abdominal pain that was misdiagnosed as a peritoneal HC on endoscopic ultrasound (EUS).…”

Section: Introductionmentioning

confidence: 99%

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

Cherouaqi¹,

Nadi²,

Idrissi³

et al. 2021

Cureus

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Pancreas is an uncommon site of hydatid cysts (HCs) even in endemic countries. Primary pancreatic hydatid cysts (PHCs) mainly occur through hematogenous dissemination. Their rarity and the absence of clinical manifestations in most cases explain their challenging preoperative diagnosis. In symptomatic cases, clinical findings may be similar to those of other diseases. We report a case of a 54-year-old female presented with a six-month history of abdominal pain, although her abdominal examination was normal. Radiological imaging revealed a serous cyst in the body and tail of the pancreas. Biliopancreatic endoscopic ultrasound (EUS) suggested a peritoneal hydatid cyst. Intraoperatively, it was diagnosed as a PHC. The patient underwent resection of the PHC and was then placed on albendazole. She did not have any symptoms for the last seven months. Through this case report, we can conclude that peritoneal hydatid cyst of the pancreas should be considered in the differential diagnosis of the cystic lesions of the pancreas. Moreover, surgery achieves a definitive treatment of the disease.

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Primary pancreatic hydatid cyst: a case report and literature review

Cited by 13 publications

References 22 publications

Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade

Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade

Surgical management of a hepatic hydatid cyst fistulized into the duodenum: A case report

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

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