Primary hydatid cyst of the pancreas with a hepatic pedicule compression.

INTRODUCTION: Primary pancreatic hydatid cyst is extremely rare and may be a causative factor for obstructive jaundice. CASE PRESENTATION: A 27-year-old woman presented with obstructive jaundice, vomiting, pruritus, abdominal pain and an epigastric mass. A diagnosis of a pancreatic cyst causing a compression of the common bile buct was established by ultrasonography and CT scan before surgery. Hydatic serology was negative. The treatment consisted of the resection of the protruding dome with a drainage of the residual cavity and an omentoplasty. The recovery was uneventful and the patient has remained symptom free so far. CONCLUSION: The primary hydatid cyst of the pancreas may be a causative factor for obstructive jaundice and should be considered in the differential diagnosis of all cystic masses in the pancreas, especially in endemic areas.

Intragastric rupture of a splenic artery aneurysm - a case report.

INTRODUCTION: Hematemesis caused by intragastric rupture of a splenic artery aneurysm, is an exceptional and potentially lethal emergency. CASE PRESENTATION: A 36 years old woman, mother of seven children presented with hematemesis. The gastric endoscopy revealed a bleeding polypoid lesion leading to a surgical management. The operative discovery of a complicated splenic artery aneurysm, led to its resection with splenectomy and gastric suture. CONCLUSION: Intragastric rupture of a splenic artery aneurysm is an exceptional emergency which urgent diagnosis and management can avoid a potential lethal evolution.