Pancreatic hydatid cyst located distally: A case report

A 52-year-old male patient admitted to the hospital with abdominal pain, postprandial bloating, and occasional nausea and vomiting for about 6 months. On abdominal physical examination, the patient had abdominal pain with deep palpation in the left upper quadrant. Echinococcus indirect hemagglutination antigen (IHA) test of the patient was positive in 1/640 titer. On CT scan, there was a cystic mass approximately 70 * 60 mm in size in the distal pancreas and bilateral renal cysts. Albendazole treatment was initiated with a dose adjustment according to the patient's weight for 4 weeks. After a 14-day break from albendazole treatment, the patient was prepared for elective surgery. Total cyst resection was performed with partial distal pancreas resection without perforation. Control abdominal CT was performed to evaluate the abdominal cavity on postoperative day 5, and no pathology was observed. Therefore, both drains were taken out. The patient was discharged on the sixth postoperative day.