Pancreatic hydatid cyst

Case contributed by Dr Pradosh Kumar Sarangi

Presentation

Abdominal discomfort and epigastric fullness for five months. No history of jaundice, vomiting, loss of weight and appetite. No past history of tuberculosis or pancreatitis. Non alcoholic.

Patient Data

Age: 35 years
Gender: Female
CT

A large well-defined rounded multiloculated cystic lesion with membrane-like structures within it, arising from pancreatic body and tail region. On contrast administration, there was mild wall enhancement. No calcific foci noted within the cyst wall.

Case Discussion

A pancreatic hydatid cyst is very rare. This case showed a large multiloculated cystic lesion with internal membranous structures originating from pancreatic body and tail. The patient had peripheral eosinophilia and serum IgE for echinococcus antigen was positive. Serum amylase and lipase were within normal limits.

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