A case of pancreatic cyst hydatid misdiagnosed as pancreatic cancer

Abstract

Hydatid disease, is a zoonotic infection caused by the Echinococcus parasite, localized especially at the liver, herein we described a case which presented with epigastric pain and Hydatid cyst of the pancreas. 19-year-old female with a history of stage B pancreatitis one month ago presented with epigastric pain, and her physical examination showed an epigastric mass 5 cm in diameter. Abdominal computed tomography showed a pancreatic tumor: Cystadenoma or Cystadenocarcinoma. Magnetic resonance imaging showed a mucinous intra-papillary tumor of the pancreas without signs of degeneration. Echo endoscopy realized talks about an aspect of a pseudo papillary solid tumor of the pancreas or false cyst of the pancreas. Surgery discovered finally a hydatid cyst of the pancreas, then a medial pancreatectomy was performed with anastomosis between the tail of the pancreas and the stomach. In conclusion, hydatid cyst of the pancreas should be considered in the differential diagnosis of cystic lesion of the pancreas, and in some cases surgery remains the only definitive diagnostic and therapeutic tool.