PDF(Pubmed)
Abstract：
UNASSIGNED: In cystic lesions of the pancreas, hydatid cyst should be considered in the differential diagnoses and its presence should be ruled out before any invasive interventions. Serological tests along with imaging studies related to hydatid cyst diagnostic indicators should be performed in people who live in Echinococcus granulosus endemic areas and suffer from cystic lesions of the gastrointestinal tract.
UNASSIGNED: Primary pancreatic hydatid cysts, caused by the tapeworm Echinococcus granulosus, represent a rare occurrence often challenging to diagnose due to their similarity to other pancreatic conditions. This case report outlines a 67-year-old male presenting with jaundice and cholestasis but lacking typical symptoms associated with pancreatic hydatid cysts. Laboratory findings revealed elevated bilirubin levels, liver enzyme abnormalities, and tumor markers, prompting imaging studies that indicated a cystic mass near the pancreatic head. Misdiagnosed initially as a mucinous cystic neoplasm, the patient underwent Whipple surgery, unveiling a large cystic lesion upon examination.
UNASSIGNED: Primary pancreatic hydatid cysts, caused by the tapeworm Echinococcus granulosus, represent a rare occurrence often challenging to diagnose due to their similarity to other pancreatic conditions. This case report outlines a 67-year-old male presenting with jaundice and cholestasis but lacking typical symptoms associated with pancreatic hydatid cysts. Laboratory findings revealed elevated bilirubin levels, liver enzyme abnormalities, and tumor markers, prompting imaging studies that indicated a cystic mass near the pancreatic head. Misdiagnosed initially as a mucinous cystic neoplasm, the patient underwent Whipple surgery, unveiling a large cystic lesion upon examination.
摘要：
■在胰腺囊性病变中，在鉴别诊断中应考虑包虫囊肿，在进行任何侵入性干预之前应排除其存在。应在居住在细粒棘球蚴流行区并患有胃肠道囊性病变的人群中进行血清学检查以及与包虫囊肿诊断指标相关的影像学研究。
■原发性胰腺包虫囊肿，由细粒棘球蚴引起的，代表一种罕见的事件，由于它们与其他胰腺疾病的相似性，通常难以诊断。该病例报告概述了一名67岁的男性，表现为黄疸和胆汁淤积，但缺乏与胰腺包虫囊肿相关的典型症状。实验室结果显示胆红素水平升高，肝酶异常，和肿瘤标志物，提示影像学检查显示胰头附近有囊性肿块。最初误诊为粘液性囊性肿瘤，病人接受了Whipple手术,在检查时发现了一个大的囊性病变。
■原发性胰腺包虫囊肿，由细粒棘球蚴引起的，代表一种罕见的事件，由于它们与其他胰腺疾病的相似性，通常难以诊断。该病例报告概述了一名67岁的男性，表现为黄疸和胆汁淤积，但缺乏与胰腺包虫囊肿相关的典型症状。实验室结果显示胆红素水平升高，肝酶异常，和肿瘤标志物，提示影像学检查显示胰头附近有囊性肿块。最初误诊为粘液性囊性肿瘤，病人接受了Whipple手术,在检查时发现了一个大的囊性病变。
