Jornal do Pâncreas Acesso livre

Abstrato

Primary Hydatid Disease of Pancreas

Asieh Sadat Fattahi, Ghodratollah Maddah, Yousef Yousefi

Introduction Hydatid cyst cause by a parasite is zeoneses diseases. the most common site of involvement is liver and lung. Pancreatic hydatid disease is extremely rare, with an incidence of less than 1% of cases with hydatid disease. Preoperative diagnosis may be difficult regarding the absence of typical clinical or radiological signs. Materials and methods We report retrospective study of cases of hydatid cysts of the pancreas from 1998 to 2013 in Mashhad university of Medical Sciences, Mashhad, Iran. From 77 patients with cyst of pancreas we had 5 hydatid cyst. We report demographic data, clinical manifestation, radiological feature and therapeutic modalities. Results The five patients were consisted of two men and three women with an average age of 27 years old. Abdominal pain was noted in 3 cases and obstructive jaundice in two cases. All patients were operated. All patient had imaging modalities like ultrasound and computed tomography that showed cystic lesions in the pancreas with differential diagnosis of pancreatic pseudo cyst, cystic tumors or cholodocal cysts. Total cystectomy & external drainage was performed in two cases, distal pancreatectomy in two cases and pancreatojejuonostomy in one case. Conclusion Hydatid cyst of the pancreas is extremely rare even in endemic countries; it should be considered in the difficult diagnosis of cystic lesions of the pancreases scan could be helpful for the diagnosis. Surgery remains the treatment of choice in pancreatic hydatid cyst.