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Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
984
[Hydatid cysts in pancreas: laparoscopic approach]
Fernando Revoredo Rego1, José De Vinatea De Cárdenas1, Gustavo Reaño Paredes1
1Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
Summary
Hydatid disease, a rare parasitic infestation, can affect the pancreas. Early diagnosis and surgical intervention are crucial for successful management of pancreatic hydatid cysts.
Area of Science:
- Parasitology
- Gastroenterology
- Surgical Oncology
Background:
- Hydatid disease, caused by Echinococcus, is a parasitic infestation endemic in many regions worldwide.
- While commonly affecting the liver and lungs, pancreatic involvement is exceptionally rare, even in endemic zones.
Observation:
- A 36-year-old female presented with a history of epigastric pain and weight loss, with suspected pancreatic hydatid disease.
- Imaging revealed a cystic lesion in the pancreatic tail; serological tests (ELISA, Western Blot) confirmed Echinococcus infection.
- The patient underwent a successful laparoscopic distal spleno pancreatectomy for the pancreatic hydatid cyst.
Findings:
- This case highlights the possibility of hydatid disease manifesting as a cystic lesion in the pancreas.
- Diagnostic confirmation involved a combination of advanced imaging and specific serological assays.
Implications:
- Pancreatic hydatid disease should be included in the differential diagnosis for cystic pancreatic lesions, particularly in individuals from endemic areas.
- Prompt diagnosis and appropriate surgical management, such as laparoscopic distal spleno pancreatectomy, can lead to favorable patient outcomes.
