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- W2895570937 abstract "Introduction: Hydatid disease is a parasitic infestation caused by Echinococcus granulosus and very rarely affects the pancreas. Methods: All cases of pancreatic involvement by hydatid disease from 2003 to 2017 at the Guillermo Almenara Hospital, Lima, Peru were reviewed. We excluded cases with massive abdominal infestation and those with doubtful pancreatic location even after the surgical. Three cases underwent surgery and diagnosis was confirmed by histo-pathology. All patients had a complete clinical records with detailed epidemiological aspects, abdominal tomography and / or MRI, ELISA test and / or Western Blot test for hydatidosis. Two of them had positive serology. Preoperative diagnosis was correct in two cases. None of the cysts were aspirated preoperatively. Results: Cysts were located in the body and tail of pancreas and their sizes were 3, 7 and 12 cm. Surgeries performed were distal pancreatectomy with splenectomy in two cases, one of them laparoscopically. The third case was managed with partial cystectomy after protecting the surgical field and using hypertonic sodium chloride as a scolicide substance. Two patients received albendazole preoperatively and all of them in the postoperative period. The postoperative recovery was satisfactory and up to date there is no evidence of recurrence in any of three patients. Conclusion: Hydatid cysts should be included in the differential diagnosis of pancreas cystic lesions, mainly in endemic areas." @default.
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- W2895570937 date "2018-09-01" @default.
- W2895570937 modified "2023-10-18" @default.
- W2895570937 title "Primary hydatid cyst of the pancreas: a report of three cases" @default.
- W2895570937 doi "https://doi.org/10.1016/j.hpb.2018.06.1930" @default.
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