Primary pancreatic hydatid cyst: A case report and a brief review of the literature

Ali,Rawa M.; Hawramy,Omar H. Ghalib; Esmaeil,Deari A.; Gharib,Dana T.; Tahir,Soran H.; Ahmed,Dlshad Hamasaeed; Ali,Hemn H. Kaka; Hussein,Karokh F. Hama; Ali,Rebaz E.; Abdalla,Berun A.; Kakamad,Fahmi H.; Azaldeen,Hevar A.

doi:10.3892/wasj.2024.264

Primary pancreatic hydatid cyst: A case report and a brief review of the literature

Authors:
- Rawa M. Ali
- Omar H. Ghalib Hawramy
- Deari A. Esmaeil
- Dana T. Gharib
- Soran H. Tahir
- Dlshad Hamasaeed Ahmed
- Hemn H. Kaka Ali
- Karokh F. Hama Hussein
- Rebaz E. Ali
- Berun A. Abdalla
- Fahmi H. Kakamad
- Hevar A. Azaldeen
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Affiliations: Department of Scientific Affairs, Smart Health Tower, Sulaymaniyah, Kurdistan 46001, Iraq
Published online on: July 9, 2024 https://doi.org/10.3892/wasj.2024.264
Article Number: 49
Copyright : © Ali et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

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Abstract

Primary pancreatic hydatid cyst is a rare form of echinococcosis, even in endemic areas. The present study reports the case of a 67‑year‑old male patient with a primary pancreatic hydatid cyst who presented with severe epigastric pain, vomiting and fever for a period >2 weeks. An endoscopic ultrasound revealed a cystic lesion in the pancreatic head with a solid component. A computed tomography scan and magnetic resonance imaging confirmed the ultrasound finding. Under general anesthesia, the patient underwent total pancreatectomy and splenectomy. A histopathological examination confirmed a primary pancreatic hydatid cyst. Hydatid cysts rarely occur primarily in the pancreas. They may spread to the pancreas through the hematogenous route. Various procedures can be performed for cyst removal, depending on the size and location of the cysts. Open surgery, laparoscopy and hybrid options are available; however, to date, the gold standard is open surgery to prevent spillage and reduce the chance of recurrence. Although rare, primary pancreatic hydatid cysts can occur, with surgery being the main treatment modality due to the vague preoperative diagnosis based on imaging.

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1	Hussein DM, Kakamad FH, Amin BJH, Baqi DH, Tahir SH, Salih AM, Ali RK, Fattah FH, Ahmed GS, Abdalla BA, et al: Hydatid cyst in the pulmonary artery; a meta-analysis. Barw Med J. 1:22–29. 2023.
2	Thyo EM: Barw Medical Journal, why?! Barw Med J. 1(1)2023.
3	Abdullah HO, Abdalla BA, Mohammed-Saeed DH, Tahir SH, Fattah FH, Hassan SJ, Hamasalih HM, Amin BJH, Salih AM, Noori SS, et al: A comprehensive study of pericardial hydatid cyst; systematic review and meta-data presentation. Barw Med J. 1:7–18. 2023.
4	Alsaid B, Alhimyar M and Rayya F: Pancreatic hydatid cyst causing acute pancreatitis: A case report and literature review. Case Rep Surg. 2018(9821403)2018.PubMed/NCBI View Article : Google Scholar
5	Salamone G, Licari L, Randisi B, Falco N, Tutino R, Vaglica A, Gullo R, Porello C, Cocorullo G and Gulotta G: Uncommon localizations of hydatid cyst. Review of the literature. G Chir. 37:180–185. 2016.PubMed/NCBI View Article : Google Scholar
6	Muhedin SS, kakamad FH, Tahir SH, Baba HO, Salih AM, Qaradakhy AJ, Ali RK and Abdulla BA: Hydatid cyst in the neck mimicking lymphangioma; a case report with a brief literature review. Otolaryngol Case Rep. 25(100476)2022.
7	Khalifa R, Nasser F, Elsetouhy A and Farag I: Hydatid cyst of the neck. A case report and literature review. Egypt J Ear Nose Throat and Allied Sci. 17:103–105. 2016.
8	Ahmed Z, Chhabra S, Massey A, Vij V, Yadav R, Bugalia R, Kankaria J and Jenaw RK: Primary hydatid cyst of pancreas: Case report and review of literature. Int J Surg Case Rep. 27:74–77. 2016.PubMed/NCBI View Article : Google Scholar
9	Makni A, Jouini M, Kacem M and Safta ZB: Acute pancreatitis due to pancreatic hydatid cyst: A case report and review of the literature. World J Emerg Surg. 7(7)2012.PubMed/NCBI View Article : Google Scholar
10	Tatar OC, Şimşek T, Güler SA and Cantürk NZ: An atypical presentation of hydatid disease, accompanied by a pancreatic pseudocyst: A case report. Iran J Parasitol. 17:277–281. 2022.PubMed/NCBI View Article : Google Scholar
11	Agha RA, Franchi T, Sohrab C, Mathew G and Kirwan A: SCARE Group. The SCARE 2020 guideline: Updating consensus Surgical Case Report (SCARE) guidelines. Int J Surg. 84:226–230. 2020.PubMed/NCBI View Article : Google Scholar
12	Muhialdeen AS, Ahmed JO, Baba HO, Abdullah IY, Hassan HA, Najar KA, Mikael TM, Mustafa MQ, Mohammed DA, Omer DA, et al: Kscien's List; A new strategy to discourage predatory journals and publishers (Second Version). Barw Med J. 1:24–26. 2023.
13	Baba HO, Salih AM, Abdullah HO, Hassan HA, Ali RK, Kakamad FH, Salih RQ and Hussein H: Primary hydatid cyst of the posterior neck; a case report with literature review. Int J Sur Open. 40(100449)2022.
14	Ma T, Wang Q, Hao M, Xue C, Wang X, Han S, Wang Q, Zhao J, Ma X, Wu X, et al: Epidemiological characteristics and risk factors for cystic and alveolar echinococcosis in China: An analysis of a national population-based field survey. Parasit Vectors. 16(181)2023.PubMed/NCBI View Article : Google Scholar
15	Kothiya PK, Gupta V, Sarawagi R, Jayashankar E, Sharma J, Wani H, Balaji K and Roshny J: Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade. Ann Hepatobiliary Pancreat Surg. 26:401–406. 2022.PubMed/NCBI View Article : Google Scholar
16	Cherouaqi Y, Nadi A, Idrissi A, El Idrissi Lamghari A and Rouibaa F: Hydatid cyst of the pancreas: An unusual cause of abdominal pain. Cureus. 13(e20614)2021.PubMed/NCBI View Article : Google Scholar
17	Ozsay O, Gungor F, Karaisli S, Kokulu I and Dilek ON: Hydatid cyst of the pancreas causing both acute pancreatitis and splenic vein thrombosis. Ann R Coll Surg Engl. 100:e178–e180. 2018.PubMed/NCBI View Article : Google Scholar
18	Bakkaly AE, Merouane N, Dalero O, Oubeja H, Erraji M, Ettayebi F and Zerhouni H: Primary hydatid cyst of the pancreas of the child: A case report. Pan Afr Med J. 27(229)2017.PubMed/NCBI View Article : Google Scholar
19	Suryawanshi P, Khan AQ and Jatal S: Primary hydatid cyst of pancreas with acute pancreatitis. Int J Surg Case Rep. 2:122–124. 2011.PubMed/NCBI View Article : Google Scholar
20	Derbel F, Zidi MK, Mtimet A, Hamida MBH, Mazhoud J, Youssef S, Jemni H, Ali AB and Hamida RBH: Hydatid cyst of the pancreas: A report on seven cases. Arab J Gastroenterol. 11:219–222. 2010.
21	Jai SR, El Hattabi K, Bensardi F, Chehab F, Khaiz D and Bouzidi A: Primary hydatid cyst of the pancreas causing obstructive jaundice. Saudi J Gastroenterol. 13:191–193. 2007.PubMed/NCBI View Article : Google Scholar
22	Wu Y, Gong J, Xiong W, Yu X and Lu X: Primary pancreatic hydatid cyst: A case report and literature review. BMC Gastroenterol. 21(164)2021.PubMed/NCBI View Article : Google Scholar
23	Soin P, Sharma P and Kochar PS: Pancreatic echinococcosis. Proc (Bayl Univ Med Cent). 32:85–87. 2019.PubMed/NCBI View Article : Google Scholar
24	World Health Organization (WHO): Puncture, aspiration, injection, re-aspiration: an option for the treatment of cystic echinococcosis. WHO, Geneva, 2001.