胰腺原发性棘球蚴囊肿伴肝蒂受压。
Primary hydatid cyst of the pancreas with a hepatic pedicule compression.
作者信息
Ousadden Abdelmalek, Elbouhaddouti Hicham, Ibnmajdoub Karim H, Mazaz Khalid, Aittaleb Khalid
机构信息
Service de chirurgie viscérale, Hôpital des spécialités, CHU de Fès, Route de Sidi Harazem, Fès, 30070, Morocco.
出版信息
Cases J. 2009 Nov 18;2:201. doi: 10.1186/1757-1626-2-201.
INTRODUCTION
Primary pancreatic hydatid cyst is extremely rare and may be a causative factor for obstructive jaundice.
CASE PRESENTATION
A 27-year-old woman presented with obstructive jaundice, vomiting, pruritus, abdominal pain and an epigastric mass. A diagnosis of a pancreatic cyst causing a compression of the common bile buct was established by ultrasonography and CT scan before surgery. Hydatic serology was negative. The treatment consisted of the resection of the protruding dome with a drainage of the residual cavity and an omentoplasty. The recovery was uneventful and the patient has remained symptom free so far.
CONCLUSION
The primary hydatid cyst of the pancreas may be a causative factor for obstructive jaundice and should be considered in the differential diagnosis of all cystic masses in the pancreas, especially in endemic areas.
引言
原发性胰腺包虫囊肿极为罕见，可能是梗阻性黄疸的一个致病因素。
病例报告
一名27岁女性出现梗阻性黄疸、呕吐、瘙痒、腹痛及上腹部肿块。术前经超声和CT扫描确诊为胰腺囊肿压迫胆总管。包虫血清学检查为阴性。治疗包括切除突出的囊肿顶部，引流残余腔隙并进行网膜成形术。恢复过程顺利，患者至今无症状。
结论
胰腺原发性包虫囊肿可能是梗阻性黄疸的致病因素，在胰腺所有囊性肿块的鉴别诊断中都应考虑，尤其是在流行地区。
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