Primary pancreatic hydatid disease: A rare presentation of echinococcosis
Mehmet Köstek1
, Özgür Bostancı1, Muharrem Battal1, Hüseyin Alkım2
1Clinic of General Surgery, Şişli Hamidiye Etfal Research and Education Hospital, Health Sciences University, İstanbul, Türkiye
2Clinic of Gastroenterology, Şişli Hamidiye Etfal Research and Education Hospital, Health Sciences University, İstanbul, Türkiye
Abstract
Hydatid disease is a zoonotic parasitic disease which rarely involves pancreas primarily. Diagnosis of pancreatic hydatid cyst is a challenge and operative skills are important to avoid spillage of cyst’s content. A 19-year-old male patient was admitted to hospital with recurrent abdominal pain which was on epigastrium and left upper quadrant of abdomen. Pain was not associated with nausea, vomiting or fever. An abdominal computed tomography (CT) scan was ordered. As a result of abdominal CT scan, there was a cystic area in tail of pancreas with a diameter of 5.6 cm which includes septa and there was calcification on borders of the cyst. Possible diagnosis were either pancreatic hydatid disease, pancreatic cyst adenoma or cystadenocarcinoma or pseudocyst of autoimmune pancreatitis. Whole body positron emission tomography (PET-CT) scan showed no other cyst or lesion other than pancreatic cyst. Hydatid disease indirect hemagglutination test has been studied and it was positive. Imaging studies and laboratory results were suggested hydatid disease and laparoscopic distal pancreatectomy has been applied. Primary pancreatic hydatid disease should be in differential diagnosis when newly appearing pancreatic cyst has been diagnosed, especially in endemic areas. Appropriate surgical technique has to be applied to avoid dissemination of cyst’s content.
Keywords: Echinococcosis, hydatid disease, pancreas, pancreatectomy, laparoscopy
Cite this article as: Köstek M, Bostancı Ö, Battal M, Alkım H. Primary pancreatic hydatid disease: A rare presentation of echinococcosis. Turk J Surg 2023; 39 (4): 383-386
Externally peer-reviewed.
Concept - All of authors; Design - All of authors; Supervision - All of authors; Materials - All of authors; Data Collection and/ or Processing - All of authors; Analysis and/or Interpretation - All of authors; Literature Search - All of authors; Writing Manuscript - All of authors; Critical Reviews - All of authors.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.
Authors declare that they have no competing interests. An informed consent was taken from the patient.