Synchronous hydatid cysts of the pancreas and liver: A rare double localization

Abstract

Figures

Abdominal CT scan showing the hydatid cysts of the pancreas (arrow) and the liver (star).Fig. 1

Intraoperative view demonstrating the pancreatic hydatid cyst (arrow).Fig. 2Fig. 3Surgical specimen (the pancreatic hydatid cyst).Fig. 3

Full text

A rural 62-year-old woman presented with epigastralgia for ten months. Physical examination and laboratory studies were normal. Abdominal computed tomography (CT) scan showed a unilocular cystic lesion in the right hepatic lobe. It showed also a unilocular, well-organized, cystic lesion, with a partially calcified wall, of the body and tail of the pancreas (Fig. 1). Hydatid serology using the ELISA test was positive.Fig. 1. Abdominal CT scan showing the hydatid cysts of the pancreas (arrow) and the liver (star).Fig. 1

A bilateral subcostal incision was performed. A partial cystectomy was performed for the hydatid cyst of the liver. For the pancreatic cyst, we performed total cystectomy and drainage regarding the body-tail region of the pancreas (Fig. 2, Fig. 3). The postoperative course was uneventful. Pathology confirmed the diagnosis of the liver and pancreas Hydatid cyst.Fig. 2. Intraoperative view demonstrating the pancreatic hydatid cyst (arrow).Fig. 2. Fig. 3Surgical specimen (the pancreatic hydatid cyst).Fig. 3

Pancreatic Hydatid cyst (PHC) is a rare situation, representing less than 1 % of all the localizations of the hydatid cyst [1]. Patients remain asymptomatic for long periods. PHC can be discovered at the stage of complications such as jaundice, cholangitis, and pancreatitis [2].

Preoperative diagnosis is difficult. Differential diagnoses such as pancreatic cystadenoma, pseudocyst, and neuroendocrine tumor can be evoked [3].

The only curative treatment is surgery. Radical surgery, when feasible, is the best option. It permits to avoid recurrence [4].

CRediT authorship contribution statement

Aymen Laaribi: Writing – original draft. Mohamed Mongi Mighri: Validation, Writing – review & editing. Yassine Kallel: Investigation, Methodology, Resources, Software. Houda Gazzah: Data curation, Investigation. Hassen Touinsi: Writing – review & editing. Hazem Beji: Conceptualization, Investigation, Methodology, Project administration, Writing – original draft.

Ethical approval

Written informed consent was obtained from the patient for the publication of this case report and the accompanying images.

Funding source

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.