title: Hydatid cyst in the head of the pancreas with obstructive jaundice.
abstract: We report a rare case of obstructive jaundice caused by an intrapancreatic hydatid cyst in a 17-year-old black girl. Ultrasonography and computed tomography demonstrated the obstructing cyst in the head of the pancreas. Cyst aspiration produced clear fluid with a low amylase content and no hydatid hooklets or protoscolices. Pancreaticoduodenectomy was performed for a presumed cystic neoplasm of the pancreas, but histology showed the true diagnosis. Pancreatic hydatidosis should be considered in the differential diagnosis of obstructing pancreatic cysts in the appropriate epidemiological setting.
authors.affiliation: Gastrointestional Clinic, University of Cape Town, Observatory, South Africa.
authors.forename: E R
authors.initials: ER
authors.lastname: Lemmer
authors.forename: J E
authors.initials: JE
authors.lastname: Krige
authors.forename: S K
authors.initials: SK
authors.lastname: Price
authors.forename: A H
authors.initials: AH
authors.lastname: Girdwood
mesh_terms: D000293:Adolescent; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000209:etiology*; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D010181:Pancreatic Cyst / Q000150:complications / Q000175:diagnosis / Q000469:parasitology* / Q000601:surgery; D014057:Tomography, X-Ray Computed