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[Acute cholangitis revealing a primary pancreatic hydatid cyst in a child]

Mourad Hamzaoui1, Manef Gasmi, Sondes Sahli

  • 1Service de chirurgie A, Hôpital d'Enfant de Tunis, place Bab Saadoune, Tunis, Tunisia. mourad.hamzaoui@rns.tn

Gastroenterologie Clinique Et Biologique
|May 8, 2007
PubMed

Insights

A rare pancreatic hydatid cyst caused acute cholangitis in a child. Surgical intervention and supportive care successfully managed the cyst and resulting pancreatic fistula.

Area of Science:

  • Gastroenterology
  • Parasitology
  • Surgical Pathology

Background:

  • Pancreatic hydatid cysts are rare, accounting for 0.1-1% of all hydatidoses.
  • Hydatid disease is caused by the tapeworm Echinococcus granulosus.

Observation:

  • A 12-year-old boy presented with acute cholangitis, cholestasis, cytolysis, and eosinophilia.
  • Imaging revealed a large (100 mm) hydatid cyst in the pancreatic head, causing biliary and pancreatic duct dilation.

Findings:

  • Exploratory laparotomy confirmed the pancreatic hydatid cyst and revealed a pancreatic fistula.
  • Subtotal cyst excision and external pancreatic fistula drainage were performed.
  • The pancreatic fistula resolved after two months with hypercaloric and hyperprotidic feeding.

Implications:

  • This case highlights the importance of considering parasitic infections in pancreatic pathology.
  • Effective management involves a multidisciplinary approach combining surgical and medical interventions.
  • Early diagnosis and treatment are crucial for favorable outcomes in pancreatic hydatid cysts.

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