Primary hydatid cyst of the pancreas with a hepatic pedicule compression

IntroductionPrimary pancreatic hydatid cyst is extremely rare and may be a causative factor for obstructive jaundice.Case presentationA 27-year-old woman presented with obstructive jaundice, vomiting, pruritus, abdominal pain and an epigastric mass. A diagnosis of a pancreatic cyst causing a compression of the common bile buct was established by ultrasonography and CT scan before surgery.

Hydatic serology was negative. The treatment consisted of the resection of the protruding dome with a drainage of the residual cavity and an omentoplasty.

The recovery was uneventful and the patient has remained symptom free so far.

Conclusion: The primary hydatid cyst of the pancreas may be a causative factor for obstructive jaundice and should be considered in the differential diagnosis of all cystic masses in the pancreas, especially in endemic areas.

Author: Abdelmalek OusaddenHicham ElbouhaddoutiKarim IbnmajdoubKhalid MazazKhalid AitTaleb
Credits/Source: Cases Journal 2009, 2:201

Published on: 2009-11-18

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