关键词: Echinococcus Hydatid cyst Location Parasite Unusual

来  源:   DOI:10.18502/ijpa.v18i1.12391   PDF(Pubmed)

Abstract:
Hydatid cyst is an anthropozoonotic disease caused by Echinococcus for which man is an accidental intermediate host. The hydatid disease commonly involves the liver and lungs. Involvement of extrahepaticopulmonary sites is extremely rare and only a few isolated cases have been reported. In 2022, a 49 year old female from the southern part of Indian subcontinent presented to us with recurrent hydatid cyst of liver co-existing with hydatid cyst of the left broad ligament, twenty years following the initial procedure. She underwent exploratorylaparotomy and cystectomy and was then managed by ERCP and stenting following which she is asymptomatic till date. Though there are no hard and fast rules, the management of such cases mandate proper exploration to avoid any recurrence. Tailored surgical approaches maybe required according to the patient condition for effective, safe and recurrence free treatment of hepatic hydatidosis.
摘要:
包虫囊肿是由棘球蚴引起的人畜共患疾病,人是偶然的中间宿主。包虫病通常累及肝脏和肺部。肝外肺外部位的参与极为罕见,仅报道了少数孤立病例。2022年,一名来自印度次大陆南部的49岁女性向我们展示了肝脏复发性包虫囊肿与左阔韧带包虫囊肿并存,在最初的程序之后的二十年。她接受了剖腹探查术和膀胱切除术,然后通过ERCP和支架置入术进行管理,直到目前为止,她一直无症状。虽然没有严格的规则,此类案件的管理要求进行适当的探索,以避免任何再次发生。根据患者情况,可能需要量身定制的手术方法才能有效,肝包虫病的安全和无复发治疗。
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