A rare cause of acute abdominal distention: opening of the pancreatic duct into hydatic cyst.
Hydatid cyst, which is caused by Echinococcus granulosus, is mostly seen in the liver and lungs although it may also rarely be found in any organ or soft tissue. This study presents an interesting case of pancreatic hydatid cyst in which the pancreatic duct opened into this cyst.



A 10-year-old boy presented to our clinic with significant abdominal distension and pain in the epigastric region which had started 10 days previously. Serum amylase level was 3709 U/L and hemagglutination inhibition for hydatid disease was 1/160. At abdominal computed tomography, two separate lesions and ascites were determined, a CE2 hydatid cyst in the region of the tail of the pancreas and a CE1 hydatid cyst in the left lobe of the liver. Percutaneous drainage was applied to the cyst in the pancreatic tail, and the patient was started on albendazole. The drainage catheter was removed, and the patient has since been followed-up on an outpatient basis with no complications.
Department of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey.
Mehmet
M
Agin
Department of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey.
Gokhan
G
Tumgor
Department of Pediatric, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey.
Suzan
S
İcil
Department of Pediatric surgery, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey.
Serdar
S
İskit
Department of Pediatric infectious Diseases, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey.
Derya
D
Alabaz
Department of Radiology, Faculty of Medicine, Çukurova Üniversitesi, Adana, Turkey.
Huseyin T
HT
Ballı
D000005:Abdomen; D000208:Acute Disease; D000818:Animals; D002648:Child; D004108:Dilatation, Pathologic / Q000469:parasitology; D004443:Echinococcosis / Q000150:complications*; D048209:Echinococcus granulosus; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000469:parasitology*
Amylase; Echinococcus granulosus; Hydatid cyst; Pancreas; Pancreatitis