Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
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Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade

  • Pradeep Kumar Kothiya (Department of Surgical Gastroenterology, All India Institute of Medical Sciences (AIIMS)) ;
  • Vishal Gupta (Department of Surgical Gastroenterology, All India Institute of Medical Sciences (AIIMS)) ;
  • Radha Sarawagi (Department of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS)) ;
  • Erukkambattu Jayashankar (Departments of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS)) ;
  • Jitendra Sharma (Department of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS)) ;
  • Hamza Wani (Department of Surgical Gastroenterology, All India Institute of Medical Sciences (AIIMS)) ;
  • Karunagaran Balaji (Departments of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS)) ;
  • J. Roshny (Departments of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS))
  • Received : 2022.05.20
  • Accepted : 2022.06.29
  • Published : 2022.11.30
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Abstract

Abdominal hydatid cyst disease mostly involves the liver. Involvement of the pancreas as an isolated primary organ is rare accounting for < 2% of all systemic echinococcosis cases. It mostly involves the head of the pancreas. Symptoms depend on the location, size, and associated complications; therefore, it can have varied presentations including acute pancreatitis. On imaging, it can mimic other common pancreatic cystic lesions like pseudocyst or cystic neoplasm. Accurate preoperative diagnosis is usually difficult and requires a very high index of suspicion even in endemic areas. Herein, a case of primary isolated hydatid cyst of the pancreas that was initially diagnosed and managed as acute pancreatic pseudocyst is reported.

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References

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