Pancreatic tail hydatid cyst as a rare cause for severe acute pancreatitis: a case report

Iran is an endemic region for hydatid disease. Primary pancreatic hydatosis is a rare event; severe acute pancreatitis related to pancreatic hydatid cyst is extremely rare

We present the case of a patient with severe acute pancreatitis and hydatosis of the pancreas without liver or lung involvement. All etiologies for acute pancreatitis were excluded. The patient underwent a distal pancreatectomy which led to the diagnosis of pancreatic hydatosis

Since hydatid disease is endemic in some regions, it should be considered as one of the underlying etiologies for inflammation or infection of the pancreas [acute pancreatitis]

Pancreatic tail hydatid cyst as a rare cause for severe acute pancreatitis: a case report

Iran is an endemic region for hydatid disease. Primary pancreatic hydatosis is a rare event; severe acute pancreatitis related to pancreatic hydatid cyst is extremely rare

We present the case of a patient with severe acute pancreatitis and hydatosis of the pancreas without liver or lung involvement. All etiologies for acute pancreatitis were excluded. The patient underwent a distal pancreatectomy which led to the diagnosis of pancreatic hydatosis

Since hydatid disease is endemic in some regions, it should be considered as one of the underlying etiologies for inflammation or infection of the pancreas [acute pancreatitis]

63 years old woman with progressive mechanical dysphagia and weight loss: a case presentation

When considering a patient with dysphagia, an attempt should be made to determine whether the patient has difficulty only with solid boluses [suggestive of mechanical dysphagia] or with liquids and solids [suggestive of a motility dysphagia]. Lesions such as an oesophageal tumor and external pressure effect from a lung tumor or aberrant vessel can lead to mechanical dysphagia. Endoscopy and / or a barium swallow are helpful in identifying the anatomical disarrangement. In this study a patient with progressive mechanical dysphagia is presented that finally diagnosed by as Lung Squamous Cell Carcinoma. There were no respiratory symptoms. Diagnosis was made by a computerized tomography scan of the thorax, bronchoscopy and bronchial biopsy

Serum CA[19-9] in patients with solid pancreatic mass

This study evaluated the results and efficacy of serum CA[19-9] in determining the nature of a pancreatic solid mass in patients referred for investigation of possible malignancy. A wide variety of tumor markers have been proposed for pancreatic cancer but currently the only one with any practical usefulness for diagnosis, prognosis, and monitoring of treatment is "CA[19-9]". This present study is a single center 2 year descriptive, prospective and case series studying patients with a pancreatic solid mass. Serum CA[19-9] was checked in 159 patients .The majority of patients were male [68%] and 81% had mass in the head of pancreas. Pathologic assessment revealed 131 adenocarcinomas [82%], 10 other malignancies [6%], 7 benign lesion [4%] and was non-diagnostic in 11 cases [7%]. Mean level of this tumor marker in patients with adenocarcinoma, non-adenocarcinoma malignancy, benign and non-diagnostic pathology was 1094, 1004, 120, 259 U/ML respectively. With regarding 58 U/ML as a cutoff point; sensitivity, specificity, positive predictive value, negative predictive value and accuracy of this tumor marker for diagnosing the adenocarcinoma were 85%, 67%, 88%, 60% and 81% respectively. There was no significant relationship between Serum CA[19-9] value and histopathology of solid pancreatic mass. This marker has limited sensitivity and specificity and cannot be used as a definite diagnostic test. So the use of CA[19-9] for the differentiation of pancreatic cancer should be applied on an individual case basis, depending on the clinical situation and imaging findings

Cholangiocarcinoma or Caroll disease: a case presentation

Early diagnosis and appropriate treatment of Cholangiocarcinoma is problematic. Cross sectional imaging and tumor marker CA[19-9] are not absolutely reliable and tissue sampling is difficult. We present a patient with cholangitis and cystic dilation of intra-hepatic bile ducts that primarily diagnosed as Caroli's disease in imaging and needle biopsy but laparotomy and surgical biopsy revealed

Efficacy of endoscopic ultrasound guided fine needle aspiration in patients with solid pancreatic neoplasms

Endosonography is a distinct method for evaluating the structural lesions of the gastrointestinal [GI] tract, particularly the pancreatobilliary region. This procedure has made a fundamental change in the diagnosis of pancreatic mass lesion through providing fine needle aspiration. This study aims at evaluating the results and efficacy of endoscopic ultrasound fine needle aspiration [EUS-FNA] in patients with pancreatic solid mass. The present study is an observational, prospective case series nature, evaluated patients with pancreatic solid mass referred to Imam Khomeini educational hospital in Tehran for a duration of one year since November 2010. In order to determine the false negative cases, the patients were followed-up from 6 to 12 months. EUS-FNA was conducted on all 53 patients without any complication. The majority of patients included in the study were males [68%] and 81% of patients had a mass in the head of pancreas. The result of cytopathology revealed 36 adenocarcinomas [68%], 7 other malignancies [13%], benign lesions [6%] and 7 non-diagnostic cases [13%]. The frequency of non-diagnostic results was significantly high in masses smaller than 3 cm [6 vs. 1, P < 0.002]. Patients with non-diagnostic result were younger than those with malignant cytopathology [52 +/- 7.5 vs. 66 +/- 7.5 years, P < 0.001].. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of this procedure concerning Adenocarcinoma were 88%, 100%, 100%, 70% and 90%, respectively. EUS - FNA is an effective and safe procedure in histopathologic diagnosis of pancreatic tumors. This procedure is useful in all pancreatic mass cases including resectable and non-resectable ones