Ahmad Baseer Sultan, Afzal Adeel, Ashraf Pervaiz, Abubakar Saiyed Abdullah, Munir Abeera
Liaquat National Hospital.
Ziauddin University, Karachi.
J Pak Med Assoc. 2018 Jul;68(7):1097-1099.
Hydatid disease or echinococcosis, a systemic zoonosis is caused by Echinococcusgranulosus larvae. This is a common disease found all over the world, especially in the Mediterranean region. We report a 40 year old male with no known comorbids who came with complaints of fever with rigors and chills, right hypochondriac pain, and yellow discolouration of the sclera. A CT scan abdomen with endoscopic retrograde cholangiopancreatography (ERCP) gave a diagnosis of hydatid cyst of the liver with pancreatitis, cholangitis and jaundice due to involvement of the biliary tree and common bile duct ERCP was done and a stent was placed after which the patient was referred to general surgery department where the resection of cyst was performed under general anaesthesia. Pancreatitis was managed conservatively. We could not find any case reported in the literature, which showed manifestation of hydatid cyst of liver with pancreatitis, cholangitis and jaundice simultaneously, which made us report this case.
包虫病或棘球蚴病是一种由细粒棘球绦虫幼虫引起的全身性人畜共患病。这是一种在世界各地都有发现的常见疾病，尤其是在地中海地区。我们报告一例40岁男性，无已知合并症，因寒战、发热、右季肋部疼痛及巩膜黄染前来就诊。腹部CT扫描及内镜逆行胰胆管造影（ERCP）诊断为肝包虫囊肿合并胰腺炎、胆管炎及黄疸，原因是胆管树和胆总管受累。进行了ERCP并置入支架，之后患者被转至普通外科，在全身麻醉下进行囊肿切除术。胰腺炎采用保守治疗。我们在文献中未发现有同时表现为肝包虫囊肿合并胰腺炎（胆管炎及黄疸）的病例报道，因此我们报告了该病例。
