关键词: cyst hydatid echinococcus granulosus exceptional localization genitourinary tract retrovesical

来  源:   DOI:10.7759/cureus.60312   PDF(Pubmed)

Abstract:
Hydatid cyst disease, caused by the Echinococcus granulosus tapeworm larval form, typically affects the liver, lungs, and genitourinary tract. This case report details an unusual manifestation of hydatid cysts in a 62-year-old male with a history of retrovesical hydatid cyst surgery. The patient presented with pain at the root of the penis, and subsequent imaging revealed cysts in the suprapubic, pubic bone, and left pectineus muscle regions. Despite the challenges posed by the COVID-19 pandemic, the patient underwent surgical excision in 2023. The discussion emphasizes the rarity of such localized cysts, diagnostic imaging techniques, and the necessity of surgical intervention. The postoperative period involved a course of albendazole. While rectovesical hydatid cysts are uncommon, this case underscores the importance of considering them in the differential diagnosis of masses, particularly in endemic regions. Surgical excision remains the primary treatment for symptomatic hydatid cysts.
摘要:
包虫囊肿病,由细粒棘球蚴幼虫形成,通常会影响肝脏,肺,和泌尿生殖道。该病例报告详细介绍了一名62岁男性的包虫囊肿的异常表现,该男性有膀胱后包虫囊肿手术史。病人出现阴茎根部疼痛,随后的成像显示耻骨上囊肿,耻骨,和左果胶肌肉区域。尽管COVID-19大流行带来了挑战,患者于2023年接受了手术切除.讨论强调了这种局部囊肿的罕见性,诊断成像技术,以及手术干预的必要性。术后期间涉及阿苯达唑的疗程。虽然直肠膀胱包虫囊肿并不常见,这一病例强调了在肿块鉴别诊断中考虑它们的重要性,特别是在流行地区。手术切除仍然是有症状的包虫囊肿的主要治疗方法。
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