[Hydatid cyst of the pancreas]

The pancreatic localization of hydatidosis is exceedingly rare (between 0,5 and 3%). A double localization, in the lung and in the pancreas was encountered only by J. Caroli and by authors of the present paper. As a rule the diagnosis is made during the biliopancreatic complications by surgical exploration. The evolution of a patient aged 55 is discussed, who presented with an icterocholangitic syndrome suggesting neoplastic disease, with an image of hidatic cyst in the upper third level of the right lung. The diagnosis of pancreatic hydatic cyst was made by puncture, during surgery, and retrogastric cystogastrectomia according to Jedlicka was followed by irreversible acute hepatorenal failure.