Pancreatic hydatid cyst masquerading as a choledochal cyst


      A 6-year-old boy presented with repeated attacks of fever, abdominal pain, and obstructive jaundice. Clinical examination and preoperative imaging suggested the diagnosis of a type I choledochal cyst. During surgery, a hydatid cyst was found occupying the head of pancreas, causing obstruction of the common bile duct. The authors emphasize that in endemic areas, hydatid cyst should be included in the list of conditions in the differential diagnoses of obstructive jaundice and cystic lesions located around the bilio-pancreatic junction in children.

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        • Serhal S.
        • Sebai F.
        • Mestiri S.
        Hydatid cyst of the pancreas: apropos of 3 cases.
        J Chir Paris. 1987; 124: 542-544
        • Rodriguez V.J.
        • Arroyo C.I.
        • Pitarch E.V.
        Pancreatic hydatid cysts.
        Cir Pediatr. 1992; 5: 46-47
        • Khiari A.
        • Mzali R.
        • Ouali M.
        • et al.
        Hydatid cyst of the pancreas: apropos of 7 cases.
        Ann Gastroenterol Hepatol (Paris). 1994; 30: 87-91
        • Rowe M.I.
        • O'Neill J.A.
        Biliary tract, pancreas, and spleen.
        in: Rowe M.I. O'Neill J.A. Grosfeld J.L. Essentials of pediatric surgery. Mosby Year Book, St. Louis, MO1995: 668
        • Dagtekin A.
        • Koseoglu A.
        • Kara E.
        • et al.
        Unusual location of hydatid cysts in pediatric patients.
        Pediatr Neurosurg. 2009; 45: 379-383
        • Brown R.A.
        • Millar A.J.
        • Steiner Z.
        • et al.
        Hydatid cyst of the pancreas—a case report in a child.
        Eur J Pediatr Surg. 1995; 5: 121-123
        • Erdener A.
        • Sahin A.H.
        • Ozcan C.
        Primary pancreatic hydatid disease in a child: case report and review of the literature.
        J Pediatr Surg. 1999; 34: 491-492
        • Arikan A.
        • Sayan A.
        • Erikçi V.S.
        Hydatid cyst of the pancreas: a case report with 5 years’ follow-up.
        Pediatr Surg Int. 1999; 15: 579-581
        • Agrawal S.
        • Parag P.
        Hydatid cyst of head of pancreas mimicking choledochal cyst.
        BMJ Case Reports. 2011;
        • Otgün I.
        • Karnak I.
        • Haliloglu M.
        • et al.
        Obstructive jaundice caused by primary choledochal hydatid cyst mimicking radiologically choledochal cyst.
        J Pediatr Surg. 2003; 38: 256-258
        • Gangopadhyay A.N.
        • Sahoo S.P.
        • Sharma S.P.
        • et al.
        Hydatid disease in children may have an atypical presentation.
        Pediatr Surg Int. 2000; 16: 89-90
        • Saidi F.
        Surgery of the hydatid disease. Lippincott Williams & Wilkins, Philadelphia, PA1976
        • Lemmer E.R.
        • Krige J.E.
        • Price S.K.
        • et al.
        Hydatid cyst in the head of the pancreas with obstructive jaundice.
        J Clin Gastroenterol. 1995; 20: 136-138
        • Ustünsöz B.
        • Akhan O.
        • Kamiloğlu M.A.
        • et al.
        Percutaneous treatment of hydatid cysts of the liver: long-term results.
        AJR Am J Roentgenol. 1999; 172: 91-96
        • Yattoo G.N.
        • Khuroo M.S.
        • Zargar S.A.
        • et al.
        Case report: percutaneous drainage of the pancreatic head hydatid cyst with obstructive jaundice.
        J Gastroenterol Hepatol. 1999; 14: 931-934
        • Karaman B.
        • Battal B.
        • Ustunsoz B.
        • et al.
        Percutaneous treatment of a primary pancreatic hydatid cyst using a catheterization technique.
        Korean J Radiol. 2012; 13: 232-236