Incidental Diagnosis of Disseminated Cysticercosis in a Patient with Alcohol-Related Acute Pancreatitis: A Case Report

Abstract

Introduction: Disseminated cysticercosis is a rare parasitic disease caused by Taenia solium larvae that involves multiple organ
systems. While cysticercosis commonly affects the central nervous system, disseminated forms[1] with complete calcification
of lesions are rare and often asymptomatic
Case Presentation: We report the case of a 52-year-old male from southern India with a history of chronic alcohol use and
poorly managed diabetes who presented with acute abdominal pain and altered mental status. Laboratory investigations
confirmed acute pancreatitis. Incidentally, CT and MRI revealed multiple calcified lesions in the brain, skeletal muscles, and
soft tissues, consistent with disseminated calcified cysticercosis[2].
Clinical Discussion: The patient exhibited no active signs or symptoms of neurocysticercosis. No antiparasitic therapy was
initiated[3]. Management focused on treating pancreatitis and advising on food hygiene and alcohol cessation.
Conclusion: This case highlights the importance of recognizing incidental imaging findings suggestive of disseminated calcified
cysticercosis and underscores the role of conservative management in the absence of active disease. Public health measures to
ensure food hygiene and safe dietary practices remain essential to prevent Taenia solium infections[4].