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Kothiya PK, Gupta V, Sarawagi R, Jayashankar E, Sharma J, Wani H, Balaji K, Roshny J. Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade. Ann Hepatobiliary Pancreat Surg 2022; 26:401-406. [PMID: 35995585 PMCID: PMC9721249 DOI: 10.14701/ahbps.22-031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 06/28/2022] [Accepted: 06/29/2022] [Indexed: 12/15/2022] Open
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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Affiliation(s)
- Pradeep Kumar Kothiya
- Department of Surgical Gastroenterology, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India
| | - Vishal Gupta
- Department of Surgical Gastroenterology, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India,Corresponding author: Vishal Gupta, MS, MCh Department of Surgical Gastroenterology, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh 462020, India Tel: +917552834086, E-mail: ORCID: https://orcid.org/0000-0003-3574-1805
| | - Radha Sarawagi
- Department of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India
| | - Erukkambattu Jayashankar
- Departments of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India
| | - Jitendra Sharma
- Department of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India
| | - Hamza Wani
- Department of Surgical Gastroenterology, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India
| | - Karunagaran Balaji
- Departments of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India
| | - J. Roshny
- Departments of Pathology and Laboratory Medicine, All India Institute of Medical Sciences (AIIMS), Bhopal, Madhya Pradesh, India
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