Bouasker Ibtissem, Zoghlami Ayoub, Ben Achour Jamel, Najah Haythem, Bedoui Riadh, Hani Mohamed Laziz, Najah Nabil
Service de Chirurgie Générale Beau Séjour, Hôpital Charles Nicolle, Tunis.
Tunis Med. 2009 Feb;87(2):155-8.
Hydatid cyst of the pancreas is a rare affection with a frequency less than one percent of the various sites of hydatid disease.
We report two cases of hydatid cyst of the pancreas. CASE 1: A 49 year old woman with a history of laparotomy for liver and peritoneal hydatid cyst was admitted with recurrent liver and peritoneal hydatid disease associated with a head pancreatic cyst of 3 cm in size. Surgical treatment consisted in a resection of the protruding dome with uneventful postoperative course. CASE 2: A 45 year old man who underwent laparotomy four years ago for hepatic hydatid cyst was admitted with recurrent liver and peritoneal hydatid disease associated with a head pancreatic cyst of 4 cm in size. At laparotomy it was a head pancreatic hydatid cyst without duct pancreatic lesion. The treatment consisted in the resection of the protruding dome. The postoperative evolution was simple.
Hydatid cyst of the pancreas is rare. If associated with another hydatid localization, the diagnosis is generally easy. It can however be more difficult if the pancreatic localization is isolated. In most cases, resection of the protruding dome is sufficient.
胰腺包虫囊肿是一种罕见疾病,在包虫病的各个发病部位中,其发病率不到1%。
我们报告两例胰腺包虫囊肿病例。病例1:一名49岁女性,有因肝和腹膜包虫囊肿行剖腹手术史,因复发性肝和腹膜包虫病伴3厘米大小的胰头囊肿入院。手术治疗包括切除突出的囊肿顶部,术后病程平稳。病例2:一名45岁男性,四年前因肝包虫囊肿接受剖腹手术,因复发性肝和腹膜包虫病伴4厘米大小的胰头囊肿入院。剖腹手术时发现是胰头包虫囊肿,无胰腺导管病变。治疗包括切除突出的囊肿顶部。术后恢复顺利。
胰腺包虫囊肿罕见。如果与其他包虫病发病部位相关联,诊断通常容易。然而,如果仅为胰腺发病部位,则诊断可能更困难。在大多数情况下,切除突出的囊肿顶部就足够了。