| Sumario: | Liver and lungs are the most common locations for hydatid disease. Primary pancreatic hydatid cyst is a rarely seen form and accounts for about 0.19% to 2% of the cases. It usually mimicks the cystic neoplasm of pancreas. The aim of this case report is to focus on the diagnosis and management of pancreatic hydatid disease in endemic areas. We hereby present the medical records of two patients mimicking the cystic pancreatic neoplasm treated with distal subtotal pancreatectomy and splenectomy. During the two year follow-up period, there was no reccurence or other organ involvement. Pancreatic hydatid disease, although a very rare entity, should be considered in endemic areas, and in order to prevent reccurrences it, should be treated with complete resection without any contamination.
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