Acute pancreatitis caused by hydatid membranes in the biliary tract: treatment with endoscopic sphincterotomy☆,☆☆
Section snippets
Patient 1
A 26-year-old man was referred to our hospital with abdominal pain, jaundice, and emesis over a period of 9 hours. There was no history of drug or ethanol abuse. The patient had a history of hepatic hydatidosis for which he had undergone operation 8 and 6 years previously (cystopericystectomy of two cysts in the left lobe and cholecystectomy). He had been hospitalized for two episodes of acute pancreatitis 3 years and 1 year ago. During these hospitalizations, an abdominal US and CT revealed a
DISCUSSION
Hepatic hydatidosis is a common disease in countries where the livestock are guarded by dogs.4 It is endemic in Spain, with an annual incidence of 5 cases per 100,000 inhabitants. Spontaneous rupture of the hepatic hydatid cyst into the biliary tract occurs in 5% to 17% of the cases.1, 2, 3, 4 Intrabiliary rupture has been classified as either frank perforation with overt passage of hydatid material into the biliary tract or as occult leakage with signs of suppuration alone.2 Rupture of the
Acknowledgements
We thank Vidal Díez-Sánchez, MD, for his assistance in the preparation of the photomicrograph. Editorial assistance was provided by Dr. Peter R. Turner of t-SciMed (Reus, Spain).
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Cited by (23)
Acute pancreatitis as an uncommon complication of hydatid cyst of the liver: A case report and systematic literature review
2021, Annals of Medicine and SurgeryCitation Excerpt :We excluded 7 articles [8–14] that could not be opened. We decided then to review 25 papers [15–39]reporting 45 cases. The data has been analyzed using Excel.
Infectious causes of acute pancreatitis: A systematic review
2020, PancreatologyCitation Excerpt :A total of 212 articles were included for review. Two publications were case control studies [8,9], 23 publications were case series [10–32]and 187 were case reports [6,33–74] [75-105] [106-135] [136-165] [166-195] [196-215]. The year of publication ranged from 1965 to 2019.
Acute pancreatitis associated with a pancreatic hydatid cyst: Understanding the mechanism by EUS
2010, Gastrointestinal EndoscopyHydatic acute pancreatitis: A case report
2004, Annales de ChirurgieAcute pancreatitis complicating intrabiliary rupture of liver hydatid cyst
2004, European Journal of Internal MedicineTreatment of hepatic hydatid disease complications using endoscopic retrograde cholangiopancreatography procedures
2012, Canadian Journal of Surgery
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Reprint requests: Federico Sáez-Royuela, MD, “General Yagüe” Hospital, Avda. del Cid, 96, E-09005 Burgos, Spain.
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