关键词: hydatid cyst paediatric surgery splenectomy

来  源:   DOI:10.1097/MS9.0000000000001851   PDF(Pubmed)

Abstract:
UNASSIGNED: Hydatosis is a zoonotic parasitic disease caused by echinococcosis larval infection. South America, Africa, the Middle East, South Europe, India, and Australia are endemic to this disease. Splenic involvement is a rare and complicated hydatid disease presentation. A splenic hydatid cyst is an infrequent clinical occurrence, even in regions where the disease is endemic.
UNASSIGNED: A 16-year-old male, having a background of mild abdominal trauma and non-resolving dull abdominal pain attended a paediatric surgical outpatient office and following a thorough examination, was diagnosed with a giant solitary isolated splenic hydatid cyst. Subsequently, the patient received albendazole and underwent total splenectomy, necessitated by the considerable size of the cyst, classified as a giant.
UNASSIGNED: Splenic involvement of hydatid disease is a rare presentation (0.5-8%.). With the initial clinical finding often involving the accidental discovery of a palpable mass, the most frequently reported symptoms and signs include the presence of a palpable mass, fever, dull pain, or splenomegaly. Ultrasound and computed tomography are the most helpful tools for evaluating focal splenic diseases. The preferred treatment involves the use of antihelminthic drugs such as albendazole or mebendazole in conjunction with splenectomy. Total splenectomy is the preferred approach and is associated with decreased hospital stay, reduced healthcare costs, and a lower likelihood of recurrence.
UNASSIGNED: in endemic areas, in patients with splenic cysts, hydatidosis should be contemplated.
摘要:
Hydatosis是由棘球蚴病幼虫感染引起的人畜共患寄生虫病。南美洲,非洲,中东,南欧,印度,澳大利亚是这种疾病的地方病。脾受累是一种罕见且复杂的包虫病表现。脾包虫囊肿在临床上很少发生,甚至在疾病流行的地区。
一名16岁男性,有轻微腹部创伤和无法解决的迟钝腹痛的背景,参加了儿科外科门诊,并经过彻底检查,被诊断出患有巨大的孤立性脾包虫囊肿。随后,患者接受了阿苯达唑并接受了全脾切除术,由于囊肿的大小相当大,被归类为巨人。
包虫病的脾受累是一种罕见的表现(0.5-8%。).由于最初的临床发现通常涉及意外发现明显的肿块,最常报告的症状和体征包括明显的肿块,发烧,隐隐作痛,或者脾肿大。超声和计算机断层扫描是评估局灶性脾疾病最有用的工具。优选的治疗包括使用抗蠕虫药物如阿苯达唑或甲苯达唑联合脾切除术。全脾切除术是首选方法,并可减少住院时间。降低医疗成本,复发的可能性较低。
在流行地区,脾囊肿患者,应该考虑包虫病。
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