Agrawal Sanwar, Parag Pulak
Department of Pediatrics, Ekta Institute of Child Health, Raipur, India.
BMJ Case Rep. 2011 Jun 29;2011:bcr0420114087. doi: 10.1136/bcr.04.2011.4087.
A 5-year-old girl presented with abdominal pain, intermittent jaundice and a gall bladder lump. Clinical examination and preoperative imaging suggested the diagnosis of a type I choledochal cyst (CDC). During surgery, this was found to be a hydatid cyst (HC) occupying the head of pancreas causing obstruction to the common bile duct (CBD). A pancreatic HC mimicking a CDC and presenting with CBD obstruction is unusual.
一名5岁女孩出现腹痛、间歇性黄疸和胆囊肿块。临床检查及术前影像学检查提示诊断为I型胆总管囊肿(CDC)。手术中发现这是一个占据胰头的棘球蚴囊肿(HC),导致胆总管(CBD)梗阻。胰腺HC酷似CDC并伴有CBD梗阻的情况并不常见。