脾包虫囊肿1例报告

Ashish Jatale, S. Ibrahimpur, S. R. Ambre, J. Pandya
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引用次数: 0

摘要

无症状包虫囊肿表现为偶然发现。它是由细粒棘球蚴引起的。肝脏是已知的受累器官,而脾脏很少受累。脾包虫病应作为左侧疑病症疼痛的鉴别诊断之一。这给临床带来了挑战。是保留还是手术也是一个两难的选择。为了降低选择性脾切除术后压倒性感染(OPSI)的发生率,应遵循疫苗接种方案。对于临床医生来说,重要的是要记住偶发无症状脾包虫囊肿的可能性和处理方案。作者在此报告一例26岁的女性,主诉左侧忧郁症疼痛,超声(USG)和增强计算机断层扫描(CECT)诊断为脾包虫囊肿。患者在完成疫苗接种后行脾切除术以避免OPSI。随访6个月,患者无症状。
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Splenic Hydatid Cyst- A Case Report
Asymptomatic hydatid cyst presents as an incidental finding. It is caused by Echinococcus granulosus. The liver is known to be involved organ, while the spleen is rarely involved. Hydatid cyst of the spleen should be considered as one of the differential diagnosis in patients presenting with left hypochondriac pain.This poses a clinical challenge. The decision on conservation or surgery is also a dilemma. To decrease incidence of Overwhelming Postsplenectomy Infection (OPSI) for elective splenectomy, vaccination protocol should be followed. It is important for the clinician to bear in mind the possibility of incidental asymptomatic splenic hydatid cyst and management protocols. Authors, hereby reports, a case of 26-year-old lady with complain of left hypochondriac pain, diagnosed with Ultrasound Sonography (USG) and Contrast Enhanced Computed Tomography (CECT) scan as splenic hydatid cyst. The patient underwent splenectomy after completion of vaccination to avoid OPSI. At six month follow-up the patient was asymptomatic.
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