Yarlagadda Padmaja, Yenigalla Bindu Madhav, Penmethsa Uma, Myneni Ramesh Babu
Department of Microbiology, NRI Medical College & General Hospital, Chinakakani, Mangalagiri Mandal, Guntur, Andhra Pradesh, India.
Trop Parasitol. 2013 Jul;3(2):151-4. doi: 10.4103/2229-5070.122147.
Hydatid disease is an endemic and common zoonosis in India. Liver is the most common site of infection. However, extra hepatic primary pancreatic hydatid cyst is rare. We report a case of primary hydatid cyst in the tail of pancreas compressing the adjacent organs in a 43-year-old male who presented with abdominal mass and was diagnosed as pancreatic cyst/splenic cyst by ultrasonography. Computed tomography of abdomen revealed a large cystic lesion in the tail of pancreas suggestive of a pseudocyst of pancreas. The case was managed surgically by splenectomy and distal pancreatectomy with albendazole therapy. Microbiological Investigations of aspirated fluid revealed free hooklets and invaginated scolices of Echinococcus granulosus, which was correlated with histopathological findings.
包虫病在印度是一种地方性常见人畜共患病。肝脏是最常见的感染部位。然而，肝外原发性胰腺包虫囊肿很少见。我们报告一例43岁男性患者，其胰腺尾部出现原发性包虫囊肿，压迫邻近器官，该患者因腹部肿块就诊，超声检查诊断为胰腺囊肿/脾囊肿。腹部计算机断层扫描显示胰腺尾部有一个大的囊性病变，提示胰腺假性囊肿。该病例通过脾切除术和远端胰腺切除术并辅以阿苯达唑治疗。对抽出液的微生物学检查发现了细粒棘球绦虫的游离小钩和内陷头节，这与组织病理学结果相关。
