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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Sharma, Raman Neogi, Sushanto |
| Description | Author Affiliation: Sharma R ( Department of General Surgery, Maulana Azad Medical College, New Delhi, India.); Neogi S ( Department of General Surgery, Maulana Azad Medical College, New Delhi, India.) |
| Abstract | Human cysticercosis most commonly affects the subcutaneous tissues, skeletal muscles, lungs, brain, eyes, liver and, rarely, the heart, thyroid and pancreas. Owing to vague clinical presentation and unfamiliarity of clinicians with this entity, it is difficult to diagnosis when seen as an isolated cyst. We present a case of a 16-year-old boy who presented with an upper abdominal lump and jaundice. Ultrasonography (USG) and MRI of the abdomen were carried out, which revealed a cystic mass (8.5 × 7 × 7 cm) in the pancreas. No evidence of solid component or papillary projections was noted within the lesion. Tumour markers carcinoembryonic antigen (CEA) and cancer antigen (CA 19-9) were normal. Fine needle aspiration cytology was performed, which revealed the presence of cysticercus larvae, along with a foreign body giant cell reaction. The patient was treated with therapeutic aspiration and antihelminthic therapy. Since then, he has been symptom free and under regular follow-up for the last 1 year. A diagnosis of cysticercal cyst at atypical sites is very rare and depends mainly on histopathological examination, which, along with USG and MRI, can give an accurate analysis. These cysts can be very well treated non-surgically with antihelminthics and aspiration. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Cysticercus Pancreas Parasitology Pancreatic Cyst Diagnosis Pancreatic Neoplasms Adolescent Animals Tumor Markers, Biological Biopsy, Fine-Needle CA-19-9 Antigen Carcinoembryonic Antigen Diagnosis, Differential Giant Cells Humans Larva Magnetic Resonance Imaging Male Pathology Therapy Tomography, X-Ray Computed Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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