Santangelo M, Vescio G, Sammarco G, Cafaro D, Gerbasi D, Triggiani E
Istituto di Chirurgia Generale e Specialità Chirurgiche, Facoltà di Medicina e Chirurgia, Università degli Studi di Catanzaro Magna Graecia.
Ann Ital Chir. 1999 May-Jun;70(3):451-6.
Hydatidosis is a parasitic disease. It's generally localized in the liver and in the lung even if any other organ can be potentially affected. From 92 to 98 our group observed two cases of rare primitive localisation of echinococcosis (one mediastinal and one retroperitoneal cyst). The patients performed serologic and instrumental exams to establish the right therapeutic strategy. Both of them were operated (it was carried out a pericystectomy with open cyst in one of them and an exeresis of the right adrenal gland including hydatid cyst in the other one). A patient underwent to Albendazole prophylaxis. During the follow-up the patients performed echography, CT and MRI. Considering the literature's data and their experience the authors emphasize: 1. The diagnosis of rare primitive localization of hydatidosis is very difficult. 2. The diagnostic iter requires a correct relationship between the laboratory and imaging data. 3. Only the exclusion of other localizations of the cyst (liver, lung or other organs) give us the possibility to diagnose a rare primitive localization of hydatidosis. 4. The treatment of hydatidosis is specifically surgical. 5. The surgeon can use several different approaches in relationship to the place and the anatomopathologic characters of the cyst.
包虫病是一种寄生虫病。它通常局限于肝脏和肺部，不过其他任何器官都有可能受到影响。在我们小组观察的92至98例病例中，有两例为棘球蚴病罕见的原发部位（一例为纵隔囊肿，另一例为腹膜后囊肿）。患者进行了血清学和影像学检查以确定正确的治疗策略。两人均接受了手术（其中一人进行了开放性囊肿的囊肿切除术，另一人进行了包括包虫囊肿在内的右肾上腺切除术）。一名患者接受了阿苯达唑预防治疗。在随访期间，患者进行了超声检查、CT和MRI检查。考虑到文献数据及自身经验，作者强调：1. 包虫病罕见原发部位的诊断非常困难。2. 诊断过程需要实验室检查和影像学数据之间的正确关联。3. 只有排除囊肿在其他部位（肝脏、肺部或其他器官）的情况，我们才有机会诊断包虫病罕见的原发部位。4. 包虫病的治疗主要是手术治疗。5. 外科医生可根据囊肿的位置和解剖病理特征采用几种不同的手术方法。
