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Isolated hydatid cyst of the pancreas masquerading as pancreatic pseudocyst
Abhishek Chinya1, Ashwini Khanolkar1, Jyoti Kumar2
1Department of Pediatric Surgery, Maulana Azad Medical College, New Delhi, India.
Insights
A rare pancreatic hydatid cyst in a child, initially without jaundice, required surgery and later management for a pseudocyst. Early diagnosis of pancreatic hydatid cysts is crucial.
Area of Science:
- Gastroenterology
- Parasitology
- Pediatric Surgery
Background:
- Pancreatic hydatid cysts are exceptionally rare, often presenting with obstructive jaundice.
- This case highlights a pediatric presentation without typical obstructive jaundice.
Observation:
- A 7-year-old girl presented with a pancreatic cyst.
- Surgical exploration confirmed a hydatid cyst of the pancreas.
Findings:
- The patient underwent partial pericystectomy.
- A pancreatic pseudocyst developed postoperatively, necessitating cystogastrostomy.
- The patient recovered well after the second procedure.
Implications:
- Pancreatic hydatid cysts pose diagnostic challenges and should be considered in cystic pancreatic lesions.
- Serological tests are valuable for early diagnosis of these rare cysts.
Abstract:
Hydatid cyst of the pancreas is very rare and usually presents with obstructive jaundice. We report a case of a 7-year-old girl with cyst of the pancreas without any obstructive jaundice. The child was treated surgically and hydatid cyst of pancreas was found. Partial pericystectomy was performed. After 1 month on follow-up, the child developed pseudocyst of pancreas, which needed cystogastrostomy. Postoperatively, the child improved and is remaining well after 3 months of follow-up. Hydatid cysts of pancreas are very difficult to diagnose preoperatively and should be kept as a differential diagnosis of cystic intrapancreatic lesions. Serological tests can help in early diagnosis.
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