Pancreatic fistula following surgery of primary pancreatic hydatid cyst causing pancreatitis

ABSTRACT

Primary pancreatic hydatid cyst is rarely encountered and difficult to differentiate from pancreatic cystic neoplasm. Of this case report is to discus the mode of presentation and best management of this condition. A twenty-eight years old male, presented with recurrent upper abdominal pain of three years duration. The pain was radiating to the back and associated with vomiting and low-grade fever. The ultrasound as well as CT scan with oral and I.V. contrast revealed that there was a solid-cystic mass in the tail of the pancreas suggesting of pancreatic cystic tumors. Laparotomy revealed pancreatic hydatid cyst, which was communicating with pancreatic duct. The patient treated by endocystectomy, which was complicated by pancreatic fistula. Pancreatic hydatid cyst should be kept in mind in any cystic lesion of pancreas. This disease could be treated by endocystectomy or partial pancreatectomy