Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Percutaneous Treatment of a Primary Pancreatic Hydatid Cyst Using a Catheterization Technique

  • Published : 2012.04.01
⟨ Previous Next ⟩

Abstract

Primary pancreatic hydatid cysts are rare and its percutaneous treatment and catheterization technique has, to the best of our knowledge, not been published in literature. A 33-year-old male patient who presented with abdominal pain was evaluated by ultrasonography (US) and computed tomography examinations. Both examinations revealed a cyst in the neck of the pancreas. After the administration of albendazole chemoprophylaxis, the patient underwent diagnostic puncture showing high pressure spring water which harbored the scoleces and was treated percutaneously by the catheterization technique. In this technique, first the cyst was punctured, the fluid content aspirated, the radiocontrast material injected to see possible fistulisation, and then re-aspirated. The 20% hypertonic saline solution was injected and re-aspiration was performed to the best of our abilities, followed by the insertion of a catheter for drainage of the remaining non-aspiratable fluid content. At follow-up examination, the cyst was not visible on US after 6 months. There was no evidence of cyst recurrence or dissemination after 18 months at serologic and imaging follow-up.

Keywords

References

  1. Ismail K, Haluk GI, Necati O. Surgical treatment of hydatid cysts of the pancreas. Int Surg 1991;76:185-188
  2. Kattan YB. Hydatid cysts in pancreas. Br Med J 1975;4:729- 730
  3. Shah OJ, Robbani I, Zargar SA, Yattoo GN, Shah P, Ali S, et al. Hydatid cyst of the pancreas. An experience with six cases. JOP 2010;11:575-581
  4. Yattoo GN, Khuroo MS, Zargar SA, Bhat FA, Sofi BA. Case report: percutaneous drainage of the pancreatic head hydatid cyst with obstructive jaundice. J Gastroenterol Hepatol 1999;14:931-934 https://doi.org/10.1046/j.1440-1746.1999.01967.x
  5. Filice C, Pirola F, Brunetti E, Dughetti S, Strosselli M, Foglieni CS. A new therapeutic approach for hydatid liver cysts. Aspiration and alcohol injection under sonographic guidance. Gastroenterology 1990;98:1366-1368 https://doi.org/10.1016/0016-5085(90)90358-8
  6. Khuroo MS, Zargar SA, Mahajan R. Echinococcus granulosus cysts in the liver: management with percutaneous drainage. Radiology 1991;180:141-145 https://doi.org/10.1148/radiology.180.1.2052682
  7. Bastid C, Azar C, Doyer M, Sahel J. Percutaneous treatment of hydatid cysts under sonographic guidance. Dig Dis Sci 1994;39:1576-1580 https://doi.org/10.1007/BF02088067
  8. Etlik O, Arslan H, Bay A, Sakarya ME, Harman M, Temizoz O, et al. Abdominal hydatid disease: long-term results of percutaneous treatment. Acta Radiol 2004;45:383-389 https://doi.org/10.1080/02841850410005651
  9. Echenique-Elizondo M, Amondarain Arratíbel JA. Hydatid disease of the pancreas. JOP 2004;5:51-52
  10. Gayral F, Bouree P, Jourdanne P, Millat B, Labayle D. [Hydatid cyst of the pancreas. One case (author's transl)]. Nouv Presse Med 1981;10:3787-3788
  11. Tissot E, Peschaud R, Vignal J, Francillon J. Le kyste Hydatique du pancréas. Lyon Chir 1975;71:127-130
  12. Coskun T, Kama NA, Dener C, Gözalan U. Primary hydatid disease of the pancreas. Am J Gastroenterol 1997;92:899-900
  13. WHO Informal Working Group. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 2003;85:253-261 https://doi.org/10.1016/S0001-706X(02)00223-1
  14. Faraj W, Selmo F, Khalifeh M, Jamali F. Laparoscopic resection of pancreatic hydatid disease. Surgery 2006;139:438-441 https://doi.org/10.1016/j.surg.2005.10.004
  15. Morris DL. Surgical management of hepatic hydatid cyst. In: Morris DL, ed. Hydatid Disease Current Medical and Surgical Management, 1st ed. Oxford: Butterworth-Heinemann, 1992;57-75
  16. Khuroo MS, Dar MY, Yattoo GN, Zargar SA, Javaid G, Khan BA, et al. Percutaneous drainage versus albendazole therapy in hepatic hydatidosis: a prospective, randomized study. Gastroenterology 1993;104:1452-1459 https://doi.org/10.1016/0016-5085(93)90355-G
  17. Giorgio A, Tarantino L, Francica G, Mariniello N, Aloisio T, Soscia E, et al. Unilocular hydatid liver cysts: treatment with US-guided, double percutaneous aspiration and alcohol injection. Radiology 1992;184:705-710 https://doi.org/10.1148/radiology.184.3.1509053
  18. Khuroo MS, Wani NA, Javid G, Khan BA, Yattoo GN, Shah AH, et al. Percutaneous drainage compared with surgery for hepatic hydatid cysts. N Engl J Med 1997;337:881-887 https://doi.org/10.1056/NEJM199709253371303
  19. Ustunsoz B, Akhan O, Kamiloglu MA, Somuncu I, Ugurel MS, Cetiner S. Percutaneous treatment of hydatid cysts of the liver: long-term results. AJR Am J Roentgenol 1999;172:91-96 https://doi.org/10.2214/ajr.172.1.9888746

Cited by

  1. Primary hydatid cyst of pancreas: Case report and review of literature vol.27, pp.None, 2012, https://doi.org/10.1016/j.ijscr.2016.07.054
  2. Hydatid disease of pancreas: A case report vol.11, pp.1, 2019, https://doi.org/10.1556/1646.11.2019.05
  3. Pancreatic Hydatid Cyst Misdiagnosed as Mucinous Cystadenoma: CT and MRI Findings vol.56, pp.3, 2012, https://doi.org/10.3390/medicina56030124
  4. Primary pancreatic hydatid cyst: a case report and literature review vol.21, pp.1, 2012, https://doi.org/10.1186/s12876-021-01753-1