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KMID : 1143920220260040401
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Annals of Hepato-Biliary-Pancreatic Surgery
2022 Volume.26 No. 4 p.401 ~ p.406
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Isolated primary hydatid cyst of the pancreas: Management challenges of a cystic masquerade
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Kothiya Pradeep Kumar
Gupta Vishal
Sarawagi Radha
Jayashankar Erukkambattu
Sharma Jitendra
Wani Hamza
Balaji Karunagaran
Roshny J.
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Abstract
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Abdominal hydatid cyst disease mostly involves the liver. Involvement of the pancreas as an isolated primary organ is rare accounting for < 2% of all systemic echinococcosis cases. It mostly involves the head of the pancreas. Symptoms depend on the location, size, and associated complications; therefore, it can have varied presentations including acute pancreatitis. On imaging, it can mimic other common pancreatic cystic lesions like pseudocyst or cystic neoplasm. Accurate preoperative diagnosis is usually difficult and requires a very high index of suspicion even in endemic areas. Herein, a case of primary isolated hydatid cyst of the pancreas that was initially diagnosed and managed as acute pancreatic pseudocyst is reported.
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KEYWORD
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Echinococcosis, Pancreatic cyst, Pancreatic pseudocyst, Pancreatitis, Membranes
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