Alveolar echinococcosis in the head of pancreas: A case report

作者：Zhou, Rong-Xing; Hu, Hai-Jie; Ma, Wen-Jie; Jiang, Yong; Li, Fu-Yu^*

来源：Medicine, 2018, 97(11): e0072.

DOI：10.1097/MD.0000000000010072

• albendazole treatment
• alveolar echinococcosis
• long-term survival
• pancreas
• preserved surgery

Rationale:Pancreatic alveolar echinococcosis (AE) is an exceptionally rare disease; no more than 10 cases have been published to date. It is characterized as extensive local tissue infringement and destruction; thus, extended surgical resection, such as duodenopancreatectomy, is often needed to obtain a negative resection margin so as to improve the long-term outcome and prognosis.Patient concerns:A middle-aged Tibetan man was admitted due to a 16-year history of recurrent pain in the right upper abdomen. Magnetic resonance imaging scan showed a cystic lesion in the VI segment of his liver and several cystic lesions in the head of pancreas.Diagnoses:Pancreatic AE.Interventions:The patient adopted a preserved surgery of partial cystectomy and completely removing the content of the cyst and then soaking by hypertonic saline combined with adjuvant medical therapy of albendazole.Outcomes:The patient was monitored on a regular basis at the outpatient department; the patient is still alive and has already survived 8 years till now.Lessons:A preserved surgery combined with adjuvant medical therapy of albendazole can also contribute to a good survival outcome for AE located at the head of pancreas.

• 出版日期2018-3
• 单位四川大学