Abstract

Hydatid disease is a major health problem worldwide. Primary hydatid disease of the pancreas is very rare and acute pancreatitis secondary to hydatid cyst has rarely been reported. We report the case of a 38-year-old man who presented acute pancreatitis. A diagnosis of hydatid cyst of the pancreas, measuring 10 cm, was established by abdominal computed tomography before surgery. The treatment consisted of a distal pancreatectomy. The postoperative period was uneventful. Additionally, a review of the literature regarding case reports of acute pancreatitis due to pancreatic hydatid cyst is presented.

Highlights

  • Hydatid disease caused by the larval stage of the Echinococcus parasite is a public health problem in endemic countries, especially in Tunisia

  • Isolated involvement of the pancreas is unusual, and acute pancreatitis secondary caused by primary pancreatic hydatid cyst has rarely been reported [3]

  • We reviewed and summarized the findings from reported cases of hydatid acute pancreatitis as indicated in the English literature, as well as presenting the findings from our case

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Summary

Background

Hydatid disease caused by the larval stage of the Echinococcus parasite is a public health problem in endemic countries, especially in Tunisia. The liver is the most common organ involved and, together with the lungs, account for 90% of cases. Pancreatic hydatid cysts are rare, accounting for less than 1% of cases [1,2]. Isolated involvement of the pancreas is unusual, and acute pancreatitis secondary caused by primary pancreatic hydatid cyst has rarely been reported (less than 2% of cases in endemic areas) [3]. We reviewed and summarized the findings from reported cases of hydatid acute pancreatitis as indicated in the English literature, as well as presenting the findings from our case (see Table 1). The patient did not have any fever or jaundice. He did not have any significant medical antecedents.

30 Edematous Opening
Discussion
Findings
Conclusion
Dziri C
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