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原发性胰腺包虫囊肿:一例罕见病例报告及诊断挑战

Primary pancreatic hydatid cyst: A rare case report and diagnostic challenges.

作者信息

Zahir Shokouh Taghipour, Rafiee Amirhossein, Kargar Saeed

机构信息

Shahid Sadoughi University of Medical Sciences Yazd Iran.

出版信息

Clin Case Rep. 2024 Jul 8;12(7):e9162. doi: 10.1002/ccr3.9162. eCollection 2024 Jul.

Abstract

KEY CLINICAL MESSAGE

In cystic lesions of the pancreas, hydatid cyst should be considered in the differential diagnoses and its presence should be ruled out before any invasive interventions. Serological tests along with imaging studies related to hydatid cyst diagnostic indicators should be performed in people who live in endemic areas and suffer from cystic lesions of the gastrointestinal tract.

ABSTRACT

Primary pancreatic hydatid cysts, caused by the tapeworm , represent a rare occurrence often challenging to diagnose due to their similarity to other pancreatic conditions. This case report outlines a 67-year-old male presenting with jaundice and cholestasis but lacking typical symptoms associated with pancreatic hydatid cysts. Laboratory findings revealed elevated bilirubin levels, liver enzyme abnormalities, and tumor markers, prompting imaging studies that indicated a cystic mass near the pancreatic head. Misdiagnosed initially as a mucinous cystic neoplasm, the patient underwent Whipple surgery, unveiling a large cystic lesion upon examination.

摘要

关键临床信息

在胰腺囊性病变的鉴别诊断中应考虑包虫囊肿,在进行任何侵入性干预之前应排除其存在。对于生活在流行地区且患有胃肠道囊性病变的人群,应进行血清学检查以及与包虫囊肿诊断指标相关的影像学检查。

摘要

由绦虫引起的原发性胰腺包虫囊肿很少见,由于其与其他胰腺疾病相似,常常难以诊断。本病例报告概述了一名67岁男性,表现为黄疸和胆汁淤积,但缺乏与胰腺包虫囊肿相关的典型症状。实验室检查结果显示胆红素水平升高、肝酶异常和肿瘤标志物升高,促使影像学检查显示胰头附近有一个囊性肿块。该患者最初被误诊为黏液性囊性肿瘤,接受了惠普尔手术,术中检查发现一个大的囊性病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21b2/11230916/ddfdf36769f0/CCR3-12-e9162-g003.jpg

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