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Hydatid acute pancreatitis.

Murat Zeytunlu1, Ahmet Coker, Yildiray Yüzer

  • 1Department of Surgery, Ege University , Izmir, Turkey. zeytunlu@med.ege.edu.tr

The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
|October 27, 2005
PubMed
Summary

Hydatid acute pancreatitis, a rare condition, was successfully treated in eight patients using endoscopic retrograde cholangiopancreatography and sphincterotomy. Prompt intervention prevented mortality and recurrent pancreatitis in this study.

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Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Parasitology

Background:

  • Hydatid acute pancreatitis is an uncommon complication of Echinococcus infection.
  • Most cases are reported as individual case presentations, lacking extensive data.

Purpose of the Study:

  • To describe the management and outcomes of a series of patients with hydatid acute pancreatitis.
  • To highlight the diagnostic and therapeutic approach for this rare condition.

Main Methods:

  • Retrospective review of eight patients diagnosed with hydatid acute pancreatitis between 1990 and 2003.
  • Diagnosis confirmed by clinical, radiological, and laboratory findings, including elevated amylase and bilirubin.
  • Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy for hydatid material removal, followed by surgical management when indicated.

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Main Results:

  • ERCP revealed hydatid cystic material in the common bile duct in all patients due to cystobiliary rupture.
  • Endoscopic sphincterotomy and hydatid material removal were successful in all cases.
  • No mortality was observed; complications included one case each of postoperative pulmonary and wound infection. One patient developed recurrent hydatid disease during long-term follow-up, but no recurrent pancreatitis occurred.

Conclusions:

  • Hydatid acute pancreatitis, though rare, is a significant clinical entity.
  • It should be considered in the differential diagnosis of acute pancreatitis, particularly in endemic regions.
  • Effective management involves ERCP for material removal and appropriate surgical or conservative measures.