Ozsay O, Gungor F, Karaisli Serkan, Kokulu Ibrahim, Dilek Osman Nuri
Department of General Surgery, Medical School of Ondokuz Mayıs University , Samsun , Turkey.
Department of General Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital , Izmir , Turkey.
Ann R Coll Surg Engl. 2018 Sep;100(7):e178-e180. doi: 10.1308/rcsann.2018.0111. Epub 2018 Jun 18.
Hydatid cyst of the pancreas is a rarely seen entity even in endemic countries. Cyst may causes several symptoms due to external compression or fistulisation to pancreaticobiliary tract or small bowel. A 23-year-old female patient was referred with a complaint of abdominal pain. Preoperative imaging revealed an undefined cyst in the tail of pancreas. She underwent distal pancreatectomy and splenectomy, with a diagnosis of acute pancreatitis due to cystopancreatic duct fistula and also left-sided portal hypertension due to splenic vein thrombosis. Pathological examination reported a final diagnosis of hydatid cyst. To the best of our knowledge, coincidence of cystopancreatic duct fistula and splenic vein thrombosis due to pancreatic hydatid cyst has not previously been reported.
胰腺包虫囊肿即便在流行国家也是一种罕见的病症。囊肿可能因外部压迫或向胰胆管或小肠形成瘘管而引发多种症状。一名23岁女性患者因腹痛前来就诊。术前影像学检查显示胰腺尾部有一个不明囊肿。她接受了远端胰腺切除术和脾切除术，诊断为囊肿胰管瘘导致的急性胰腺炎，以及脾静脉血栓形成导致的左侧门静脉高压。病理检查最终报告为包虫囊肿。据我们所知，此前尚未有胰腺包虫囊肿导致囊肿胰管瘘和脾静脉血栓形成同时出现的报道。
