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

Autor: Agin M; Department of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey., Tumgor G; Department of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey., İcil S; Department of Pediatric, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey., İskit S; Department of Pediatric surgery, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey., Alabaz D; Department of Pediatric infectious Diseases, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey., Ballı HT; Department of Radiology, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey.
Jazyk: English; Spanish; Castilian
Zdroj: Archivos argentinos de pediatria [Arch Argent Pediatr] 2016 Oct 01; Vol. 114 (5), pp. e346-8. Date of Electronic Publication: 2016 Oct 01.
DOI: 10.5546/aap.2016.eng.e346
Abstrakt: 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.
(Sociedad Argentina de Pediatría.)
Databáze: MEDLINE