脾包虫囊肿:病例报告

Dakshita Adlakha, Subhash Chawla, M. S. Utaal, Shivam Sharma, Ankita Khurana, Mrugen Thakor, Sakshi Ramnani
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引用次数: 0

摘要

包虫囊肿病(HD)是一种由棘球蚴引起的寄生虫感染。这种疾病在世界各地都有发生,但在农村社区发病率较高,因为养羊和养牛是农业产业的重要组成部分。这是一种人畜共患病,通过人与羊和狗的密切接触传播。包虫囊肿最常涉及的器官是肝脏和肺部。不过,其他器官也可能感染,例如脾脏,这是一种罕见的临床病症,发病率在 0.5% 到 4% 之间。在本研究中,报告了一名 46 岁男性原发性脾脏 HC 患者,主诉为左侧下腹疼痛并可触及无触痛的肿块。超声波检查(US)发现一个 9.7×10.6×11 厘米的脾脏囊性肿块,腹部计算机断层扫描(CT)证实该肿块未累及其他器官。在切除完整水瘤囊肿的同时进行了脾切除术。病理检查显示为囊性包虫病。我们描述了这例通过全脾切除术成功治疗的孤立性脾包虫病,重点介绍了这种疾病的治疗方法和结果。
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Splenic hydatid cyst: a case report
Hydatid cyst (HD) disease is a parasitic infection caused by Echinococcus granulosus. It occurs worldwide, but its prevalence is higher in the rural communities where sheep and cattle raising constitute a crucial component of the agricultural industry. This is a zoonotic disease which spreads via close contact of humans with sheep and dogs. The most common organs involved in hydatid cyst are the liver and lungs. However, other organs may also foster it, such as the spleen which is a rare clinical condition, with an incidence rate of between 0.5% and 4%. In this study, a 46-year-old male with a primary splenic HC is reported with chief complaint of pain and non-tender palpable mass in left hypochondrium. A 9.7×10.6×11 cm splenic cystic mass was detected on ultrasonography (US) and confirmed by abdominal computed tomography (CT) scan, without involvement of other organs. Splenectomy was done along with excision of intact hydatid cyst. Pathological examinations revealed cystic hydatidosis. We describe this case of an isolated splenic HC, which was successfully treated with total splenectomy, focusing on the management and outcome of this disease.
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