Simultaneous Hydatid Cysts of the Liver and Pancreas: A Rare Case Report

Background: Hydatidosis is a common, generally benign condition prevalent in endemic areas, presenting significant public health challenge, particularly in regions with traditional farming practices. In these endemic regions, hydatid disease can affect in various anatomical sites. Pancreatic hydatid cysts are rare, accounting for less than 1% of cases even endemic areas. This unusual location may present as chronic epigastric pain, the most common reason for consultation. While Ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) can easily detect pancreatic cystic lesion, determining their hydatid nature preoperatively is extremely challenging to recognize. The treatment involves surgical excision via pericystectomy. Prophylaxis remains the most effective strategy to control this parasitic disease in endemic areas.

Case Report: We report a the case of a 38-year-old woman from an endemic region, presenting with chronic right hypochondriac pain. Imaging revealed multiple hepatic cysts and a well-defined cyst in the pancreatic tail. Positive hydatid serology confirmed the diagnosis. Surgical resection of the cysts was performed with an uneventful recovery, and no recurrence was observed at the six-month follow-up. This case underscores the diagnostic challenges due to the rarity of pancreatic hydatid cysts, with surgical resection and drainage being the preferred treatment to minimize complications.