RESUMO
The pancreas is an uncommon site of a hydatid cyst, even in countries where echinococcal disease is endemic. We report three cases of primary hydatid cysts of the pancreas revealed by abdominal pain. The diagnosis was based on ultrasound and CT-scan, which showed a cystic mass in the tail of the pancreas in the two first cases. In the third case, the diagnosis was determined preoperatively and a pancreatic fistula was found in the head of the pancreas during peroperative cholangiography. The echinococcal immunological test (Elisa) was positive in all cases. Surgical treatment included resection of the prominent lump in two patients and a cystogastric anastomosis in the third. Based on these three cases and a study of the literature, the difficulties of diagnosing this rare disease and the surgical procedures are discussed.
Assuntos
Equinococose/diagnóstico , Pancreatopatias/parasitologia , Dor Abdominal/parasitologia , Anastomose Cirúrgica , Colangiografia , Equinococose/cirurgia , Feminino , Seguimentos , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Pancreatectomia , Pancreatopatias/cirurgia , Ductos Pancreáticos/cirurgia , Fístula Pancreática/parasitologia , Tomografia Computadorizada por Raios XRESUMO
Paraduodenal hernia is a rare etiology of intestinal obstruction. Its preoperative diagnosis can only be made by a well-performed upper gastrointestinal series. We report a case of a 19 years old man with abdominal pains and recurrent Koenig's syndromes. The upper gastrointestinal series and CT scan showed a right paraduodenal hernia. we reviewed the anatomy. physiopathology, symptoms and radiographic criteria for the diagnosis of the paraduodenal hernia.
Assuntos
Duodenopatias/patologia , Dor Abdominal/etiologia , Adulto , Duodenopatias/diagnóstico , Hérnia/diagnóstico , Hérnia/patologia , Humanos , Masculino , Tomografia Computadorizada por Raios XRESUMO
The authors report a case of cystic lymphangiomatosis of the spleen. Study of this case and a review of the literature confirm the rarity of this site and problems of differential diagnosis with hydatid disease. Treatment remains surgical and the prognosis is good.