Giant primary pancreatic echinococcosis.
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| Title: | Giant primary pancreatic echinococcosis. |
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| Alternate Title: | Equinococosis pancreática primaria gigante. |
| Authors: | Garcias, Lucas M.1 (AUTHOR), Reimondez, Santiago1 (AUTHOR), Giordano, Enzo1 (AUTHOR), Alcaraz, Álvaro1 (AUTHOR), Marani, Marcos1 (AUTHOR), Sánchez, Ana V.2 (AUTHOR), Maraschio, Martín1 (AUTHOR) mmaraschio@gmail.com |
| Source: | Medicina (Buenos Aires). jul/ago2025, Vol. 85 Issue 4, p854-858. 5p. |
| Subjects: | ECHINOCOCCOSIS, ECHINOCOCCUS granulosus, POSTOPERATIVE care, ALBENDAZOLE, PANCREATIC cysts, COMPUTED tomography, OPERATIVE surgery |
| Abstract (English): | Hydatid disease, a zoonosis caused by Echinococcus granulosus (EG), primarily affects the liver and lungs. Pancreatic involvement is exceedingly rare, represent ing only 0.2% of cases. In the reported case of a giant pancreatic hydatid cyst in a 22-year-old female patient. This patient from La Rioja, Argentina, presented with abdominal pain, distension, and early satiety. A CT scan revealed a 16 x 12 cm cyst in the pancreatic head. Pre operative albendazole was administered, followed by a cephalic duodenopancreatectomy due to cyst contact with the superior mesenteric vein. The postoperative period was uneventful, and the patient was discharged on postoperative day five. Pathological examination confirmed a hydatid cyst, with no recurrence at eight months' follow-up. Pancreatic hydatid cysts are rare, with most cases being asymptomatic due to the slow growth of the cysts. Imaging modalities like CT and MRI are crucial for di agnosis, while serological tests can help, although their sensitivity is limited. The treatment approach depends on the cysts location and size. In this case, surgical intervention was necessary due to the size and symp tomatic nature of the cyst. The patient's preoperative and postoperative management included albendazole to minimize recurrence risk. Primary pancreatic echinococcosis is a rare manifes tation of hydatid disease. This case represents the larg est pancreatic cyst reported to date in our knowledge, successfully managed with surgical intervention and albendazole therapy, with no disease recurrence during follow-up. Surgical treatment remains the gold standard for giant or symptomatic cysts. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | La enfermedad hidatídica, una zoonosis causada por Echinococcus granulosus (EG), afecta principalmente al hígado y los pulmones. La afectación pancreática es extremadamente rara, representando solo el 0.2% de los casos. Presentamos un caso de un quiste hidatídico pancreático gigante en una paciente de 22 años. Esta paciente de 22 años, procedente de La Rioja, Argentina, presentó dolor abdominal, distensión y sa ciedad temprana. Una tomografía computarizada reveló un quiste de 16 x 12 cm en la cabeza del páncreas. Se administró albendazol preoperatorio, seguido de una duodenopancreatectomía cefálica debido al contacto del quiste con la vena mesentérica superior. El período postoperatorio transcurrió sin complicaciones y la pa ciente fue dada de alta al quinto día postoperatorio. El examen patológico confirmó un quiste hidatídico, sin recurrencia a los ocho meses de seguimiento. Los quistes hidatídicos pancreáticos son poco fre cuentes y la mayoría de los casos son asintomáticos, debido al lento crecimiento de los quistes. Las moda lidades de imagen como la TC y la RMN son cruciales para el diagnóstico, mientras que las pruebas serológicas pueden ayudar, aunque su sensibilidad es limitada. El enfoque del tratamiento depende de la ubicación y el tamaño del quiste. En este caso, la intervención quirúrgica fue necesaria debido al tamaño y la natu raleza sintomática del quiste. El manejo preoperatorio y posoperatorio de la paciente incluyó albendazol para minimizar el riesgo de recurrencia. La equinococosis pancreática primaria es una ma nifestación rara de la enfermedad hidatídica. Este caso representa, en nuestro conocimiento, el quiste pan creático más grande informado hasta la fecha, tratado exitosamente con intervención quirúrgica y terapia con albendazol, sin recurrencia de la enfermedad durante el seguimiento. El tratamiento quirúrgico sigue siendo el estándar de oro para los quistes gigantes o sintomáticos. [ABSTRACT FROM AUTHOR] |
| Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Abstract: | Hydatid disease, a zoonosis caused by Echinococcus granulosus (EG), primarily affects the liver and lungs. Pancreatic involvement is exceedingly rare, represent ing only 0.2% of cases. In the reported case of a giant pancreatic hydatid cyst in a 22-year-old female patient. This patient from La Rioja, Argentina, presented with abdominal pain, distension, and early satiety. A CT scan revealed a 16 x 12 cm cyst in the pancreatic head. Pre operative albendazole was administered, followed by a cephalic duodenopancreatectomy due to cyst contact with the superior mesenteric vein. The postoperative period was uneventful, and the patient was discharged on postoperative day five. Pathological examination confirmed a hydatid cyst, with no recurrence at eight months' follow-up. Pancreatic hydatid cysts are rare, with most cases being asymptomatic due to the slow growth of the cysts. Imaging modalities like CT and MRI are crucial for di agnosis, while serological tests can help, although their sensitivity is limited. The treatment approach depends on the cysts location and size. In this case, surgical intervention was necessary due to the size and symp tomatic nature of the cyst. The patient's preoperative and postoperative management included albendazole to minimize recurrence risk. Primary pancreatic echinococcosis is a rare manifes tation of hydatid disease. This case represents the larg est pancreatic cyst reported to date in our knowledge, successfully managed with surgical intervention and albendazole therapy, with no disease recurrence during follow-up. Surgical treatment remains the gold standard for giant or symptomatic cysts. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00257680 |
