[7] 2005 18 (female) Head 43 Necrotizing Compression Total cystectomy 16 5 Pouget et al. [8] 2009 29 (male) Body 30 Edematous Opening Left pancreatectomy+splenectomy 3 6 Diop et al. [9] 2010 29

(male) Tail 80 Edematous Opening Left pancreatectomy 48 7 Karakas et al. [10] 2010 18 (male) Body 70 Edematous Opening cyst fenestration 4 8 Chammakhi et al. [11] 2010 32 (Female) Tail 80 Necrotizing Opening Left pancreatectomy+splenectomy 6 9 Present case 2011 38 (male) Body 100 Edematous Opening Left pancreatectomy+splenectomy 3 ¥ Pathogenesis: Opening of the hydatid cyst in the main pancreatic duct or compression of the main pancreatic duct by the pancreatic hydatid cyst Missing data Case presentation A 38-year-old man was admitted to our clinic with complaints of diffuse abdominal pain, nausea, vomiting for 7 days. The patient did not have any fever or jaundice. Moreover, he did not have any significant SGC-CBP30 mouse medical antecedents. On physical examination, vital signs were normal. Tenderness in the EPZ5676 datasheet epigastrium was detected

while examination of other systems was normal. Laboratory analyses were as follows: white blood cells were 13 000/mmc; hemoglobin was 14 g/dl; platelets were 142 000/mmc; amylase was 2100 U/l (normal value < 105); alanine aminotransferase buy Saracatinib (ALT) was 300 U/l (normal value < 40); aspartate transaminase (AST) was 120 U/l (normal value < 40); alkaline phosphatase (ALP) was 270 U/l (normal value < 290); gamma-glutamyl

transpeptidase (GGT) was 130 U/l (normal value < 49); total bilirubin was 9 mg/l (normal value < 10); direct bilirubin was 3 mg/l (normal value < 8 mg/l); C-reactive protein was 20 mg/l (normal value < 5); and erythrocyte sedimentation rate was 70 mm/h. Serological tests including HBsAg, anti-HBc IgM and anti-HCV were negative. Hydatid serology, which was based on an enzyme-linked immunosorbent assay (ELISA) test for echinococcal antigens, was positive (with a value of 3,2 U/l). Lung radiography and hepatic ultrasound were normal. Abdominal computed tomography (CT) revealed a multi-loculated 100 × 90 mm cystic lesion in both the corpus and the tail of the pancreas, which was also associated with an enlargement of the pancreas Teicoplanin and with a peripancreatic edema, indicating an acute pancreatitis. Abdominal CT-scan showed also daughter cysts, some peripheral calcifications and a detachment of the hydatid membrane in the pancreatic cyst. This is evidenced by a pressure drop inside the cyst and thus, an opening of the cyst in the pancreatic duct which is dilated (Figure 1). Nothing was detected in the liver or in any other organs. Three weeks later, the patient underwent surgery for primary pancreatic hydatid disease. Intraoperatively, following the dissection of the pancreatic tail including the cyst, a distal pancreatectomy with splenectomy was performed (Figure 2). The main pancreatic duct was disobstructed from the scolices.