PDF(Pubmed)
Abstract：
Purpose: Cystic echinococcosis (CE) is a common, complex parasitic disease that constitutes a major public health concern. CE demonstrates high endemicity in areas where dogs are used for herding or where animal husbandry practices involve close contact with livestock. It can clinically manifest with a variety of signs and symptoms, such as cholangitis, jaundice, pancreatitis, external biliary fistula, inferior vena cava obstruction, portal hypertension, and superinfection. The latter can notably be related to suppuration, either by rupture or bacteremia. The aim of this study is to report our 76-year-old patient who presented with a primarily infected giant-suppurated hydatid cyst of the liver and its surgical management. Methods: In this case, the diagnosis was based primarily on clinical presentation, computed tomography (CT) scan, and magnetic resonance imaging (MRI) of the patient\'s abdomen. The surgical procedure of choice was the partial retaining of the pericystic membrane and drainage of the cystic contents (partial pericystectomy). Results: The surgical management and meticulous long-term follow-up of our patient produced a positive outcome without any post-operative complications.
摘要：
目的：囊性包虫病（CE）是一种常见的，构成主要公共卫生问题的复杂寄生虫病。CE在使用狗进行放牧或畜牧业与牲畜密切接触的地区表现出很高的地方性。它可以在临床上表现出各种体征和症状，比如胆管炎,黄疸,胰腺炎,外胆瘘,下腔静脉阻塞,门静脉高压症,和重复感染。后者尤其可能与化脓有关，无论是破裂还是菌血症.这项研究的目的是报告我们的76岁患者，该患者患有主要感染的巨大化脓的肝脏包虫囊肿及其手术治疗。方法：在这种情况下，诊断主要基于临床表现，计算机断层扫描(CT)扫描,和磁共振成像（MRI）的病人的腹部。选择的手术方法是部分保留囊膜和引流囊性内容物（部分性周切除术）。结果：我们的患者的手术管理和细致的长期随访产生了积极的结果，没有任何术后并发症。
