Hydatid cyst of head of pancreas mimicking choledochal cyst

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

“…Karaman et al [13] 2012 [14] 2012 India English Case Report 1 30 F Abdominal pain Tail 62 × 57 Positive Suryawanshi et al [15] 2011 India English Case Report 1 20 M Epigastric mass + epigastric pain Head 80 × 80 NS Varshney et al [16] Somani et al [17] 2011 India English Case Report 1 30 F Epigastric mass + epigastric pain Head NS NS Masoodi et al [18] 2011 India English Case Report 1 45 M LUQ mass Tail 70 × 60 Positive Makni et al [19] 2011 Tunisia English Case Report 1 30 F Epigastric mass + discomfort Body 80 Positive Bhat et al [20] 2011 India English Case Report 1 4 F Jaundice + epigastric mass Head + Body 150 × 100 Negative Cankorkmaz et al [21] 2011 Turkey English Case Report 1 7 F Epigastric mass + weight loss Tail + Body 70 × 60 Negative Dalal et al [22] 2011 India English Case Report 1 48 M Epigastric fullness + fever Tail 80 × 50 Not-done Agrawal et al [23] 2011 India English Case Report 1 5 F Jaundice + abdominal pain Head 120 × 100 NS Küçükkartallar et al [24] 2011 Tavusbay et al [25] 2011 Turkey English Case Report 1 50 M Abdominal mass NS NS Positive Derbel et al [26] 2010 [27] 2010 India English Case Report 1 30 F Jaundice + epigastric mass Head 80 × 60 Not-done Boubbou et al [28] 2010 Morocco English Case Report 1 38 M Jaundice + epigastric pain Head NS NS Shah et al [29] [30] 2010 [32] 2010 Romania English Case Report 1 49 F Epigastric pain + bloating + vomiting…”

“…Trigui et al [4] Patil et al [6] USG + CT Kaushik et al [7] USG + CT Baghbanian et al [8] USG + CT Distal pancreatectomy + necrozectomy + partial nephrectomy Karaman et al [13] USG + CT [14] USG + CT Suryawanshi et al [15] USG + CT Cyst evacuation + omentoplasty-laparoscopic Varshney et al [16] Somani et al [17] USG Masoodi et al [18] USG + CT Distal pancreatectomy + splenectomy Dalal et al [22] USG + CT Cyst excision along with tail of the pancreas Agrawal et al [23] USG + MRCP Enucleation + cholangiography + cholecystectomy + cystography Tavusbay et al [25] USG + CT Partial cystectomy + omentoplasty + splenectomy + mesenteric cyst excision Wound infection Albendazole-6 mo No 12 Liver + spleen + peritoneum 13 Derbel et al [26] USG + CT …”

“…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] .…”

“…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.…”

“…However, the rate of this complication was far below the expected rate. Analysis of patients' blood tests showed that 8 patients had elevated bilirubin (2.9-11.7 mg/dL), 9 had elevated ALP (280-1843 U/L), 7 had elevated ALT (56-335 U/L), 7 had elevated AST (72-235 U/L), 7 had elevated amylase (610-4965 U/ L), and 2 had elevated lipase (103-1390 U/L) [5,8,10,12,15,17,20,21,23,26,27,29,30,36] . The first and most important step in the diagnosis of PHC is clinical suspicion.…”