具有骨外定位的肩胛骨包虫病

Jorge Sapunar Peric, M. Rayo
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引用次数: 3

摘要

43岁女性,出生在智利南部农村地区,30岁时出现右肩疼痛和活动受限。随后,她表现为右侧肩胛骨区体积增大。x线片显示肩胛骨溶骨性病变。活组织检查发现骨性包虫病,并从软组织中取出包虫病囊肿。四年后,她再次出现相同解剖区域的疼痛和体积增加,给予阿苯达唑治疗,CAT检查发现骨溶骨性病变,多处骨膜破裂和多处肌肉囊肿。为了切除囊肿,她再次接受了手术。两年后,患者表现出与先前观察到的相同的临床表现和放射学和CAT图像。考虑到所有这些事实,决定进行彻底的手术
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Hidatidosis del omóplato con localización extraósea
A forty three-year-old female, born in a rural area of southern Chile, at the age of 30 presented pain and limitation of motility of the righ shoulder. Later on, she presented an increasing of volume at the right scapular region. A radiography showed an osteolytic lesion of the scapula. In a biopsy an osseous hydatidosis was found and a hydatid cyst was extirpated from the soft tissues. Four years later, as she presented again pain and volume increasing in the same anatomical area, albendazole was given to her, and a CAT practiced revealed osteolytic lesions of the bone, several periosteal ruptures and multiple cyst in the muscles. She was submitted so surgery again in order to extirpate cyst. After two years the patient presented the same clinical manifestations and radiological and CAT images previously observed. In considering all these facts a radical surgery was decided
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