Acute pancreatitis associated with a pancreatic hydatid cyst: understanding the mechanism by EUS

Diop, Saloum P.; Costi, Renato; Bian, Alban Le; Carloni, Alessio; Meduri, Bruno; Smadja, Claude

doi:10.1016/j.gie.2010.04.051

Cited by 9 publications

(14 citation statements)

References 11 publications

(3 reference statements)

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“…Larvae that escape the lung may then pass to any part of the human body via arterial circulation [1][2][3] . The organization of the filtering systems explain why hydatid cysts most commonly re- Diop et al [31] CT + MR + EUS Distal pancreatectomy + polar nephrectomy + partial cystectomy-Liver This patient arrived at the hospital with signs of acute pancreatitis. Despite tienam therapy, he developed renal dysfunction and pancreatic necrosis that affected 50% of the organ.…”

Section: Discussionmentioning

confidence: 99%

“…Hydatid cysts located in the pancreatic head may cause obstructive jaundice or acute pancreatitis by either exerting external compression on or fistulizing into the common bile duct [4,10,12,15,20,23,[26][27][28][29][30]31,35,36] . Less commonly, they may lead to cholangitis, duodenal stenosis, or duodenal fistula [4,20] .…”

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confidence: 99%

“…Hydatid cyst may also at times erode walls of gastrointestinal luminal organs, causing a rupture into the lumen [4,20] . In this review, we found that 14 cases had bile duct dilatation due to external compression [4,10,20,23,[26][27][28][29][30]36] , while 4 had cysto-biliary fistula [4] , 6 had pancreatitis due to external compression and fistulization (2 were necrotizing, and 4 were edematous) [8,12,15,30,31,35] , 3 had pancreatic ductal dilatation [10,15,36] , 4 had cysto-pancreatic fistula [12,27,30,31] , 2 had left-sided portal hypertension [4,32] , 1 had cysto-duodenal fistula [4] , and 1 had splenic vein obstruction [34] . Some of these complications were detected by preoperative radiological examinations, and others were only detected at the time of surgery.…”

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confidence: 99%

“…It is also successfully used for treatment monitorization and postoperative recurrence detection [12] . MRI and MRCP are particularly useful to delineate the relationship between cysts and pancreatic and bile ducts [12,31] . However, results from these techniques may be insufficient when attempting to differentiate between cysts located at the pancreatic head and those located at the common bile duct [10,27] .…”

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confidence: 99%

“…It is also very beneficial in non-operative management of cases that developed biliary or pancreatic fistulae [12,30] . EUS is not commonly used [31,32] , but it is capable of delineating pancreato-biliary system anatomy and taking biopsy samples when necessary. It can accurately show the relationship between the cyst and pancreatic duct [12,31] .…”

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Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

Akbulut¹,

Yavuz²,

Söğütçü³

et al. 2014

WJGS

116

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AIM:To overview the literature on pancreatic hydatid cyst (PHC) disease, a disease frequently misdiagnosed during preoperative radiologic investigation. METHODS:PubMed, Medline, Google Scholar, and Google databases were searched to identify articles related to PHC using the following keywords: hydatid cyst, hydatid disease, unusual location of hydatid cyst, hydatid cyst and pancreas, pancreatic hydatid cyst, and pancreatic echinococcosis. The search included letters to the editor, case reports, review articles, original articles, meeting presentations and abstracts that had been published between January 2010 and April 2014 without any restrictions on language, journal, or country. All articles identified and retrieved which contained adequate information on the study population (including patient age and sex) and disease and treatment related data (such as cyst size, cyst location, and clinical management) were included in the study; articles with insufficient demographic and clinical data were excluded. In addition, we evaluated a case of a 48-year-old female patient with PHC who was treated in our clinic. RESULTS:A total of 58 patients, including our one new case, (age range: 4 to 70 years, mean ± SD: 31.4 ± 15.9 years) were included in the analysis. Twentynine of the patients were female, and 29 were male. The information about cyst location was available from studies involving 54 patients and indicated the following distribution of locations: pancreatic head (n = 21), pancreatic tail (n = 18), pancreatic body and tail (n = 8), pancreatic body (n = 5), pancreatic head and body (n = 1), and pancreatic neck (n = 1). Extra-pancreatic locations of hydatid cysts were reported in the studies involving 44 of the patients. Among these, no other focus than pancreas was detected in 32 of the patients (isolated cases) while 12 of the patients had hydatid cysts in extra-pancreatic sites (liver: n = 6, liver + spleen + peritoneum: n = 2, kidney: n = 1, liver + kidney: n = 1, kidney + peritoneum: n = 1 and liver + lung: n = 1). Serological information was available in the studies involving 40 patients, and 21 of those patients were serologically positive and 15 were serologically negative; the remaining 4 patients underwent no serological testing. Information about pancreatic cyst size was available in the studies involving 42 patients; the smallest cyst diameter reported was 26 mm and the largest cyst diameter reported was 180 mm (mean ± SD: 71.3 ± 36.1 mm). Complications were available in the studies of 16 patients and showed the following distribution: cystobiliary fistula (n = 4), cystopancreatic fistula (n = 4), pancreatitis (n = 6), and portal hypertension (n = 2). Postoperative follow-up data were available in the studies involving 48 patients and postoperative recurrence data in the studies of 51 patients; no cases of recurrence occurred in any ORIGINAL ARTICLE Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 10.4240/wjgs.v6.i10.190 World J Gastro...

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

Akbulut¹,

Yavuz²,

Söğütçü³

et al. 2014

WJGS

116

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Extra-hepatic intra-abdominal hydatid cyst: which characteristic, compared to the hepatic location?

et al. 2012

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Hydatid cysts are mostly located in the liver, followed by the lung. Primary and isolated extrahepatic intra-abdominal hydatid cysts (PIEHC) are rare and only a few sporadic series have been reported. This article aims to study the epidemiological, diagnostic difficulties and therapeutic principles of PIEHC. More over, it aims to make comparison between PIEHC and the liver location of the cyst concerning all these data. We report a retrospective study from January 1995 to September 2010 concerning 34 patients who underwent surgical removal of a PIEHC. The mean age was 46 years. Abdominal pain was the main symptom, and was found in 27 patients (79.4 %). Physical examination revealed an abdominal mass in 19 patients (55.9 %). In 6 patients (17.6 %) the PIEHC was incidental. Abdominal ultrasound and abdominal CT scan helped to highlight all cystic masses. The diagnosis was established preoperatively in 28 patients (84.8 %). Five patients (14.7 %) were operated with a diagnosis other than PIEHC. The diagnosis was made intraoperatively in one case (2.9 %). A laparotomy in 24 cases (70 %) was the surgical approach often used. Majority of the patients, 25 cases (73.5 %), received a conservative procedure. Only 3 patients (8.8 %) had recurrences and were reoperated. The diagnosis of PIEHC is often facilitated by means of modern imaging, however, serious diagnostic problem were found with a pancreatic location of the cyst. Complete surgical excision, when possible without major sacrifice, seems to be the best therapeutic option to reduce the risk of recurrence.

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Hydatid cyst of the pancreas revealed by acute pancreatitis: A case report

Aziz,

Ali,

Maissa

et al. 2024

International Journal of Surgery Case Reports

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Acute pancreatitis associated with a pancreatic hydatid cyst: understanding the mechanism by EUS

Cited by 9 publications

References 11 publications

Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

Hydatid cyst of the pancreas: Report of an undiagnosed case of pancreatic hydatid cyst and brief literature review

Extra-hepatic intra-abdominal hydatid cyst: which characteristic, compared to the hepatic location?

Hydatid cyst of the pancreas revealed by acute pancreatitis: A case report

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