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A rare cause of acute abdominal distention: opening of the pancreatic duct into hydatic cyst. | LitMetric

A rare cause of acute abdominal distention: opening of the pancreatic duct into hydatic cyst.

Arch Argent Pediatr

Department of Radiology, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey.

Published: October 2016

AI Article Synopsis

  • A hydatid cyst, primarily caused by Echinococcus granulosus, often affects the liver and lungs, but this study highlights a rare case in the pancreas where the pancreatic duct opened into the cyst.
  • A 10-year-old boy presented with significant abdominal swelling and pain, showing high serum amylase levels and positive results for hydatid disease.
  • Imaging revealed two cysts, one in the pancreas and another in the liver, and after percutaneous drainage and treatment with albendazole, the patient showed no complications during follow-up.

Article Abstract

Introduction: Hydatid cyst, which is caused by Echinococcus granulosus, is mostly seen in the liver and lungs although it may also rarely be found in any organ or soft tissue. This study presents an interesting case of pancreatic hydatid cyst in which the pancreatic duct opened into this cyst.

Case Report: A 10-year-old boy presented to our clinic with significant abdominal distension and pain in the epigastric region which had started 10 days previously. Serum amylase level was 3709 U/L and hemagglutination inhibition for hydatid disease was 1/160. At abdominal computed tomography, two separate lesions and ascites were determined, a CE2 hydatid cyst in the region of the tail of the pancreas and a CE1 hydatid cyst in the left lobe of the liver. Percutaneous drainage was applied to the cyst in the pancreatic tail, and the patient was started on albendazole. The drainage catheter was removed, and the patient has since been followed-up on an outpatient basis with no complications.

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Source
http://dx.doi.org/10.5546/aap.2016.eng.e346DOI Listing

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