Lemmer E R, Krige J E, Price S K, Girdwood A H
Gastrointestional Clinic, University of Cape Town, Observatory, South Africa.
J Clin Gastroenterol. 1995 Mar;20(2):136-8. doi: 10.1097/00004836-199503000-00013.
We report a rare case of obstructive jaundice caused by an intrapancreatic hydatid cyst in a 17-year-old black girl. Ultrasonography and computed tomography demonstrated the obstructing cyst in the head of the pancreas. Cyst aspiration produced clear fluid with a low amylase content and no hydatid hooklets or protoscolices. Pancreaticoduodenectomy was performed for a presumed cystic neoplasm of the pancreas, but histology showed the true diagnosis. Pancreatic hydatidosis should be considered in the differential diagnosis of obstructing pancreatic cysts in the appropriate epidemiological setting.
我们报告了一例罕见的梗阻性黄疸病例，病因是一名17岁黑人女孩胰腺内的包虫囊肿。超声检查和计算机断层扫描显示胰腺头部有梗阻性囊肿。囊肿穿刺抽出清澈液体，淀粉酶含量低，未见包虫小钩或原头节。因推测为胰腺囊性肿瘤而行胰十二指肠切除术，但组织学检查显示了真正的诊断结果。在适当的流行病学背景下，胰腺包虫病应被纳入梗阻性胰腺囊肿的鉴别诊断中。
