AN UNUSUAL CYSTIC PANCREATIC MASS
Authors:   Surgery Resident, Department of Surgery A, Ibn Sina Hospital, Mohammed V University, Faculty of Medicine and Pharmacy, Rabat, Morocco., Belkouchi Omar ,   SurgeryProfessor, Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco., El Malki Omar ,   Surgery Resident, Department of Surgery A, Ibn Sina Hospital, Mohammed V University, Faculty of Medicine and Pharmacy, Rabat, Morocco.,   SurgeryProfessor, Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco., Ifrine Lahssan ,   Radiology Resident, Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco.,   RadiologyProfessor, Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco., Belkouchi Abdelkader ,   Radiology Resident, Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco.,   RadiologyProfessor, Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco., Belkouchi Lina ,   RadiologyProfessor, Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco.,   Gastroenterology Resident, Department of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco., Saouab Rachida ,   RadiologyProfessor, Department of Radiology, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco.,   Gastroenterology Resident, Department of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco., Aourarh Benayad ,   Gastroenterology Resident, Department of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco.,   Gastroenterology Professor, Department of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco., Aourarh Aziz ,   Gastroenterology Resident, Department of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco.,   Gastroenterology Professor, Department of Gastroenterology I, Mohammed V Military Hospital, Mohammed V University, Faculty of Medicine and Pharmacy of Rabat, Morocco.
Published: May 2023

Hydatidosis is an endemicdisease in Morocco. Localization in the pancreas is very rare especially when isolated. We report the case of a patient admitted in the emergency room for a suppurated pancreatic collection, about 15 cm in diameter, resembling a fistulized Pseudo-pancreatic cyst, or a cystic pancreatic tumoror a pancreatic hydatid cyst. In spite of an initial empirical antibiotic therapy, the unfavorable evolution led us to perform an exploratory laparotomy which confirmed the diagnosis of an isolated pancreatic hydatid cyst. The classic surgical treatment by subcutaneous laparotomy is still effective in this situation, and consists of cyst drainage and a cysto-jejunal bypass on a Y loop to compensate for the pancreatic cyst-channel fistula. Because of the emergency context, large volume, lack of diagnosis certainty and the slow evolution of this cyst, we preferred surgical treatment to per cutaneous or endoscopic drainage.