HYDATID CYSTS OF THE PANCREAS, report of two cases

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Ibtissem Bouasker
Ayoub Zoghlami
Jamel Ben Achour
Haythem Najah
Riadh Bedoui
Mohamed Laziz Hani
Nabil Najah

Abstract

Background: Hydatid cyst of the pancreas is a rare affection with a frequency less than one percent of the various sites of hydatid disease.
Aim: Rreport two cases of hydatid cyst of the pancreas.
Case 1: A 49 year old woman with a history of laparotomy for liver and peritoneal hydatid cyst was admitted with recurrent liver and peritoneal hydatid disease associated with a head pancreatic cyst of 3 cm in size. Surgical treatment consisted in a resection of the protruding dome with uneventful postoperative course.
Case 2:A45 year old man who underwent laparotomy four years ago for hepatic hydatid cyst was admitted with recurrent liver and peritoneal hydatid disease associated with a head pancreatic cyst of 4 cm in size. At laparotomy it was a head pancreatic hydatid cyst without duct pancreatic lesion. The treatment consisted in the resection of the protruding dome. The postoperative evolution was simple.
Conclusion: Hydatid cyst of the pancreas is rare. If associated with another hydatid localization, the diagnosis is generally easy. It can however be more difficult if the pancreatic localization is isolated. In most cases, resection of the protruding dome is sufficient.

Keywords:

Hydatid cysts, pancreas

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References

  1. Katkhouda N, Legoff D, Tricarico A, Castillo L, Bertrandy M, Mouiel J. Kyste hydatique du pancréas responsable d'une pancréatite chronique récidivante. Presse Med 1998 ; 17 : 2021-3
  2. Kattan YB. Hydatid cysts in pancreas. British Med J 1975; 27: 729-30
  3. Khiari A, Mseddi MA, Hadiji S, et al. Kyste hydatique de la tête du pancréas fistulisé dans le duodénum. Ann Gastrenterol Hepatol 1994; 30: 57-9
  4. Khiari A, Mzali R, Ouali M, Kharrat M, Kechaou MS, Beyrouti MI. Kyste hydatique du pancréas a propos de sept observations. Ann Gastroenterol Hépatol 1994 ; 30: 87-91
  5. Serhal S, Sebai F, Mestiri S. Kyste hydatique du pancreas. A propos de 3 observations. J Chir 1987 ; 124 : 542-4
  6. Gayral F, Bouree P, Jourdanne PH, Millat B, Labayle D. Kyste hydatique du pancréas une observation. Nouv Presse Med 1981 ; 10 : 3787- 8
  7. Oruc MT, Kulacoglu IH, Hatipoglu S, Kulah B, Ozmen MM, Coskun F. Primary hydatid cyst of the pancreas related to main pancreatic duct. A case report. Hepato Gastroenterology 2002; 49: 383-4
  8. Cosme A, Orive V, Ojedo E, Aramburu V, Irazusta M, Arenas JI. Hydatid cyst of the head of the pancreas with spontaneous fistula to the duodenum. Am J Gastroenterol 1987; 82: 1311-13
  9. Mathai V, Banerjee Jesudason SR, Muthusami JC, Kuruvilla R, Idikula J, Sada P. Chronic pancreatis caused by intraductal hydatid cysts of the pancreas. Br J Surg 1994; 81: 1029
  10. Achour A, Daali M. Kyste hydatique du pancreas. J Chir 2005 ; 142 : 331-2
  11. Ennabli E, Zaouche A, Khereddine E, Horchani H, Slim R, Ben Jilani S. Kyste hydatique de la tête du pancreas avec érosion du wirsung. Méd Chir Dig 1984; 13: 357- 60
  12. Arnaud A, Sarles JC, Belkhodja C, Larabi B. Hydatid cyst of the pancreas. A propos of 2 cases. Chirurgie 1991; 117: 607-11
  13. Kafih M, El Idrissi DH, Zerouali ON. Kyste Hydatique du pancréas. une observation. Presse Méd 1993 ; 22 : 1061
  14. Mzali R, Gharbi A, Shabou R, Kannous M, Beyrouti MI. Acute cholangitis caused by intra-biliary rupture of pancreatic hydatid cyst. Tunis Med 2004; 82: 470-4