Hydatid cyst of the pancreas: a report on seven cases

Primary hydatid cyst of the pancreas is rare, representing 0.2-2% of all human cases. It is usually single and located in the head of the pancreas. The aim of this study was to describe clinical, radiological and therapeutic aspects of hydatid cysts of the pancreas. This study was carried out in the Department of Digestive and General Surgery in Sahloul University Hospital, Sousse in Tunisia during the period 1993-2009. Seven patients were treated for hydatid cyst of the pancreas, three men and four women with an average age of 30 years. The clinical signs were variable according to size and location of the cyst within the pancreas and the degree of biliopancreatic involvement. The main symptoms were pain in left upper quadrant, jaundice, fever and epigastric and right upper quadrant pain. The preoperative diagnosis was established in six patients by ultrasonography and computed tomography [CT]. However, the diagnosis was established during laparotomy in one case. The echinococcal immunological test [ELISA] was positive in only two cases. Surgical treatment included resection of the prominent lump [cystectomy] in five cases, and distal pancreatectomy with splenic preservation in one case and with splenectomy in one case. The postoperative period was uneventful in six cases. Acute postoperative pancreatitis occurred in one case. The patients were free of symptoms and were followed up for 12 months without any recurrence as revealed by abdominal ultrasonography and CT scan. Hydatid cysts in the pancreas are rare. Even if rare, these should be considered in the differential diagnosis of cystic lesions of the pancreas. The surgical treatment is to be considered whenever possible

[Hydatid cysts of the pancreas, report of two cases]

Hydatid cyst of the pancreas is a rare affection with a frequency less than one percent of the various sites of hydatid disease. Rreport two cases of hydatid cyst of the pancreas. A 49 year old woman with a history of laparotomy for liver and peritoneal hydatid cyst was admitted with recurrent liver and peritoneal hydatid disease associated with a head pancreatic cyst of 3 cm in size. Surgical treatment consisted in a resection of the protruding dome with uneventful postoperative course. A 45 year old man who underwent laparotomy four years ago for hepatic hydatid cyst was admitted with recurrent liver and peritoneal hydatid disease associated with a head pancreatic cyst of 4 cm in size. At laparotomy it was a head pancreatic hydatid cyst without duct pancreatic lesion. The treatment consisted in the resection of the protruding dome. The postoperative evolution was simple. Hydatid cyst of the pancreas is rare. If associated with another hydatid localization, the diagnosis is generally easy. It can however be more difficult if the pancreatic localization is isolated. In most cases, resection of the protruding dome is sufficient

Hydatid Disease Involving Some Rare Locations in the Body: a Pictorial Essay

Hydatid disease (HD) is an endemic illness in many countries, and it poses an important public health problem that's influenced by peoples' socioeconomic status and migration that spreads this disease. Although rare, it may occur in any organ or tissue. The most common site is the liver (59-75%), followed in frequency by lung (27%), kidney (3%), bone (1-4%) and brain (1-2%). Other sites such as the heart, spleen, pancreas and muscles are very rarely affected. Unusual sites for this disease can cause diagnostic problems. This pictorial essay illustrates various radiological findings of HD in the liver, spleen, kidney, pancreas, peritoneal cavity, omentum, adrenal, ovary, lung, mediastinum and retroperitoneum. Familiarity with the imaging findings of HD may be helpful in making an accurate diagnosis and preventing potential complications.

[Hydatic cyst of the pancreas - a case report]

We report a new case of hydatid cyst of the pancreas. The diagnosis has been suspected on the radiological aspect then confirmed by serology. The treatment consisted in a resection of the prominent dome associated to drainage of the residual cavity. The post operative sequences were simple. To the light of this observation and data of the literature, the different clinical aspects, para clinical and therapeutic modalities of this very rare localization of hydatidosis are discussed

Pancreas hydatic cyst: a case report

Echinococcal involvement of the pancreas is extremely rare. The clinical presentation is polymorph and the diagnosis is rarely evocated before surgery. We report a 60-year-old woman presenting with epigastric pain. Abdominal examination found an epigastric mass. Radiologie explorations [Abdominal ultrasound and a computed tomography scan] revealed a pancreatic cyst located in the corpus and in the tail. The diagnosis of hydatid cyst was made at laparotomy. The cyst was treated by aspiration and injection of hypertonic saline solution followed by cystectomy. Three years later, the patient was asymptomatic without recurrence of hydatic cysts. Epidemiological, clinical, biological and radiological data should allow better detection of hydatid cysts of pancreas. Surgical treatment depends on the location of the cyst in the pancreas

Aspectos micróscopicos do pâncreas de bovino parasitado por Eurytrema coelomaticum Giard e Billet, 1892 (Trematona: Dicrocoelidae) / Microscopic aspects of cattle pancreas parasited by Eurytrema coelomaticum Giard e Billet, 1892 (Trematoda: Dicrocoelidae)

Fragments of intensively fribrose pancreas parasited with 1941 specimens of Eurytrema coelonaticum were collected at necropsy of a 14 years old 5/8 hostein-zebu bull with acentuated cachexia. The microscopic survey demonstrated the following changes: chronic fibrosing pancreatitis; pancreatic degeneration; dystrophic calcification; metaplasic membranous ossification; atrophy of pancreatic acinus, and presence of trematode eggs

Hydatid cyst of the pancreas. About 2 cases

The authors report two cases of pancreatic hydatid cyst and the rarety of this localisation and the poly-morphison of the clinic symptomatology. Attention is drawn to the place of the ultrasonography and the therapeutic problems

Esquistossomose encefálica associada a outras lesöes ectópicas / Encephalic schistosomiasis associated with other ectopic lesions

É relatado e discutido o caso de uma paciente de 27 anos de idade, procedente do Município de Jaboatäo-Pernambuco, portadora de esquistossomose hepato-esplênica e hipertensäo arterial crônica a qual, estando hospitalizada para ligadura de varizes do esôfago, ao receber uma transfusäo sangüínea apresentou alguns sinais e sintomas que evoluíram em menos de 24 horas para coma e morte. A necrópsia revelou hemorragias encefálicas múltiplas, edema pulmonar, hipertrofia ventricular esquerda, fibrose hepática tipo Symmers, varizes do esôfago, ausência cirúrgica do baço e pielonefrite crônica. Foram evidenciadas lesöes decorrentes da presença de ovos ou restos de ovos de S. mansoni no fígado, pulmöes, encéfalo, miocárdio, pâncreas, rins e um linfonodo peritoneal. Além do encéfalo e miocárdio as três últimas localizaçöes foram consideradas ectópicas por se mostrarem, os elementos parasitários, topograficamente relacionados com o sistema arterial da grande circulaçäo e näo com o sistema venoso porto-cava. A literatura concernente é revista e säo discutidos os mecanismos que podem explicar a presença de ovos de S. mansoni no sistema nervoso central