Ann Hepatobiliary Pancreat Surg.  2019 Feb;23(1):87-90. 10.14701/ahbps.2019.23.1.87.

Laparoscopic cystectomy for pancreatic echinococcosis: A case report and literature review

• Imam A
• Khoury T
• Weis D
• Khalayleh
• Adeleh M
• Khalaileh

• KMID: 2439054
• DOI: http://doi.org/10.14701/ahbps.2019.23.1.87

Abstract

Cystic echinococcosis (CE) is a widely endemic helminthic disease caused by infection with the Echinococcus granulosus tapeworm. Following ingestion of eggs, hydatid cysts develop, most frequently in the liver and lungs, but occasionally in other organs. Infection of the pancreas by hydatid cysts is very rare, even in endemic areas. Most cases of pancreatic hydatid cysts reported in the literature were treated surgically using traditional open laparotomy. There are only few case reports describing laparoscopic treatment for this disease. Herein, we report on an eighteen-year-old female patient who was referred to our institution with a hydated pancreatic tail cyst. After a course of treatment with Albendazole, we successfully performed laparoscopic splenic-sparing distal pancreatectomy to remove the cyst with an uneventful intra- and post-operative course.

Keyword

Hydatid cyst; Pancreas; Laparoscopic cystectomy

MeSH Terms

Albendazole
Cestoda
Cystectomy*
Eating
Echinococcosis*
Echinococcus granulosus
Eggs
Female
Helminths
Humans
Laparotomy
Liver
Lung
Ovum
Pancreas
Pancreatectomy
Tail
Albendazole

Figure

• 

  Fig. 1 Computed tomography demonstrating hydated cyst in the pancreatic tail.

Reference

1. Siracusano A, Teggi A, Ortona E. Human cystic echinococcosis: old problems and new perspectives. Interdiscip Perspect Infect Dis. 2009; 2009:474368.

2. Yagmur Y, Akbulut S. Unusual location of hydatid cysts: a case report and literature review. Int Surg. 2012; 97:23–26.

3. Pakala T, Molina M, Wu GY. Hepatic echinococcal cysts: a review. J Clin Transl Hepatol. 2016; 4:39–46.

4. Lewall DB. Hydatid disease: biology, pathology, imaging and classification. Clin Radiol. 1998; 53:863–874.

5. Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiographics. 2000; 20:795–817.

6. Jai SR, El Hattabi K, Bensardi F, Chehab F, Khaiz D, Bouzidi A. Primary hydatid cyst of the pancreas causing obstructive jaundice? Saudi J Gastroenterol. 2007; 13:191–193.

7. Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence. World J Surg. 2004; 28:731–736.

8. Balik AA, Celebi F, Başglu M, Oren D, Yildirgan I, Atamanalp SS. Intra-abdominal extrahepatic echinococcosis. Surg Today. 2001; 31:881–884.

9. Hamamci EO, Besim H, Korkmaz A. Unusual locations of hydatid disease and surgical approach. ANZ J Surg. 2004; 74:356–360.

10. Ismail K, Haluk GI, Necati O. Surgical treatment of hydatid cysts of the pancreas. Int Surg. 1991; 76:185–188.

11. Akbulut S, Yavuz R, Sogutcu N, Kaya B, Hatipoglu S, Senol A, et al. Hydatid cyst of the pancreas: report of an undiagnosed case of pancreatic hydatid cyst and brief literature review. World J Gastrointest Surg. 2014; 6:190–200.

12. Safioleas MC, Moulakakis KG, Manti C, Kostakis A. Clinical considerations of primary hydatid disease of the pancreas. Pancreatology. 2005; 5:457–461.

13. Masoodi MI, Nabi G, Kumar R, Lone MA, Khan BA, Naseer Al. Hydatid cyst of the pancreas: a case report and brief review. Turk J Gastroenterol. 2011; 22:430–432.

14. Cobo F, Yarnoz C, Sesma B, Fraile P, Aizcorbe M, Trujillo R, et al. Albendazole plus praziquantel versus albendazole alone as a pre-operative treatment in intra-abdominal hydatisosis caused by Echinococcus granulosus. Trop Med Int Health. 1998; 3:462–466.

15. Bedioui H, Chebbi F, Ayadi S, Daghfous A, Bakhtri M, Jouini M, et al. [Primary hydatid cyst of the pancreas: diagnosis and surgical procedures. Report of three cases]. Gastroenterol Clin Biol. 2008; 32:102–106.

16. Trigui A, Rejab H, Guirat A, Mizouni A, Ben Amar M, Mzali R, et al. Hydatid cyst of the pancreas. About 12 cases. Ann Ital Chir. 2013; 84:165–170.

17. Khoury G, Abiad F, Geagea T, Nabout G, Jabbour S. Laparoscopic treatment of hydatid cysts of the liver and spleen. Surg Endosc. 2000; 14:243–245.

18. Agrawal S, Parag P. Hydatid cyst of head of pancreas mimicking choledochal cyst. BMJ Case Rep. 2011; 2011:pii: bcr0420114087.

19. Suryawanshi P, Khan AQ, Jatal S. Primary hydatid cyst of pancreas with acute pancreatitis. Int J Surg Case Rep. 2011; 2:122–124.

20. Boubbou M, Boujraf S, Sqalli NH, Maaroufi M, Tizniti S. Large pancreatic hydatid cyst presenting with obstructive jaundice. Arab J Gastroenterol. 2010; 11:47–49.