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Pancreatic body hydatid cyst: A case report
Mohamed El Sorogy1, Mohamed El-Hemaly1, Ahmed Aboelenen1
1Faculty of Medicine, Mansoura University, Egypt.
International Journal of Surgery Case Reports
|December 22, 2014
Summary
Pancreatic hydatid cysts, caused by Echinococcus granulosus, are rare but should be suspected in patients with pancreatic cystic lesions and travel history. Diagnosis and treatment involve imaging, serology, and surgical or medical interventions.
Area of Science:
- Parasitology
- Gastroenterology
- Radiology
Background:
- Hydatid disease is a parasitic infestation by Echinococcus granulosus, typically affecting the liver and lungs.
- Pancreatic involvement is exceptionally rare, even in endemic regions.
Purpose of the Study:
- To highlight the diagnostic challenges and management of a rare pancreatic hydatid cyst case.
- To emphasize the importance of considering hydatid disease in pancreatic cystic lesions with relevant travel history.
Main Methods:
- A case report of a 34-year-old male with a pancreatic body cyst.
- Diagnostic tools included abdominal CT scan and enzyme-linked immunosorbent assay (ELIZA) for echinococcal antigens.
- Surgical intervention involved endocystectomy and deroofing of the cyst.
Main Results:
- The patient presented with epigastric pain and a 7cm pancreatic body cyst.
- ELIZA test for echinococcal antigens was positive.
- Surgical exploration confirmed and treated the pancreatic hydatid cyst.
Conclusions:
- Pancreatic hydatid cysts are rare and can mimic other cystic pancreatic conditions, making diagnosis challenging.
- Abdominal sonography, CT scans, and ELIZA tests are crucial for diagnosis.
- Treatment options include endocystectomy, albendazole therapy, percutaneous drainage, or laparoscopic excision.
