Hydatid cyst of the pancreas causing both acute pancreatitis and splenic vein thrombosis

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Ozsay O., Gungor F., Karaisli S., Kokulu I., DİLEK O. N.

ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND, vol.100, no.7, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 100 Issue: 7
  • Publication Date: 2018
  • Doi Number: 10.1308/rcsann.2018.0111
  • Journal Name: ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Keywords: Acute pancreatitis, Echinococcosis, Hydatid cyst, Portal hypertension, Splenic vein thrombosis
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

Hydatid cyst of the pancreas is a rarely seen entity even in endemic countries. Cyst may causes several symptoms due to external compression or fistulisation to pancreaticobiliary tract or small bowel. A 23-year-old female patient was referred with a complaint of abdominal pain. Preoperative imaging revealed an undefined cyst in the tail of pancreas. She underwent distal pancreatectomy and splenectomy, with a diagnosis of acute pancreatitis due to cystopancreatic duct fistula and also left-sided portal hypertension due to splenic vein thrombosis. Pathological examination reported a final diagnosis of hydatid cyst. To the best of our knowledge, coincidence of cystopancreatic duct fistula and splenic vein thrombosis due to pancreatic hydatid cyst has not previously been reported.