Left pancreatectomy for primary hydatid cyst of the body of pancreas
- PDF / 140,676 Bytes
- 3 Pages / 595.276 x 790.866 pts Page_size
- 8 Downloads / 191 Views
CASE REPORT / CAS CLINIQUE
Left pancreatectomy for primary hydatid cyst of the body of pancreas Pancréatectomie gauche pour un kyste hydatique isolé du corps du pancréas A. Makni · F. Chebbi · M. Jouini · M. Kacem · Z. Ben Safta © Springer-Verlag France 2011
Abstract Background: Hydatid disease is a considerable health problem worldwide. Primary hydatid disease of the pancreas is very rare. Case report: We report the case of a 30-year-old woman who presented with abdominal pain and an epigastric mass. A diagnosis of hydatid cyst of the pancreas was established by ultrasonography before surgery. The treatment consisted of a distal pancreatectomy. The postoperative evolution was simple. Conclusion: Hydatid disease should be considered in the differential diagnosis of all cystic masses in the pancreas, especially in the geographical regions where the disease is endemic. Surgical removal remains the main form of definitive treatment. Sometimes only one conservative procedure can be performed. To cite this journal: J. Afr. Hépatol. Gastroentérol. 5 (2011).
Introduction
Keywords Hydatid cyst · Pancreas · Pancreatectomy
Observation
Résumé Introduction : La maladie hydatique est un problème de santé publique. La localisation pancréatique isolée est exceptionnelle. Cas clinique : Nous rapportons l’observation d’une femme âgée de 30 ans qui présente une douleur abdominale associée à une masse épigastrique. Le diagnostic préopératoire d’un kyste hydatique du corps du pancréas a été établi à l’échographie abdominale. La patiente a été opérée par voie médiane, il a été réalisé une pancréatectomie gauche emportant le kyste. Les suites opératoires étaient simples. Conclusion : Le kyste hydatique doit être évoqué devant toute masse kystique du pancréas, particulièrement dans un pays d’endémie comme le nôtre. La chirurgie reste le seul traitement à proposer devant un kyste hydatique du pancréas. Pour citer cette revue : J. Afr. Hépatol. Gastroentérol. 5 (2011).
A 30-year-old woman from Tunisia presented with upper abdominal discomfort of 3 months duration. She did not complain of either jaundice or vomiting. Physical examination revealed a 16-cm mass in the epigastrium. Abdominal ultrasound was performed, showing a cystic mass of 8 cm, with a clean wall, hanging from on the underside of segment II, and containing daughter cysts. These findings were suggestive of a large hydatid cyst involving the left lobe of the liver (Fig. 1). No other site of disease was identified (i.e. abdominal and pulmonary). Hydatid serology, which was based on an enzyme-linked immunoadsorbent assay (ELIZA) test for echinococcal antigens, was positive (Value: 3.2). Liver function tests revealed serum bilirubin of 5 mg/dl and alkaline phosphatase of 92 u/l (normal value < 290 u/l). During laparotomy, we discovered a hydatid cyst located in the body of the pancreas and with destruction of the surrounding parenchyma. There was a thin pericystic wall. First of all, we evacuated the daughter cysts and fluid by puncture of the cyst (Fig. 2). Then, the cyst w
Data Loading...
