Mayoussi C, El Mesnaoui A, Lekehal B, Sefiani Y, Benosman A, Bensaid Y
Clinique de chirurgie D, Hôpital Ibn Sina, Rabat, Maroc.
J Mal Vasc. 2002 Apr;27(2):100-4.
We report two cases of hydatic cyst with rupture into the aorta in two young patients cared for at the Ibn Sina hospital in Rabat, Morocco. In the first patient, a false hydatic aneurysm of the descending thoracic aorta was discovered at surgery performed for suspected hydatic cyst of the lower lobe of the left lung. Despite reconstruction with a prosthetic graft, the patient died peroperatively due to exsanguination via uncontrollable bleeding through the aneurysmal sac. The second case was a 20-year-old woman whose false hydatic aneurysm of the thoracoabdominal aorta was disclosed by embolic ischemia of the lower limbs. Aorto-aortic reconstruction was followed by medical treatment with albendazol. During follow-up, the patient developed a hydatic cyst of the kidney and a parietal cyst. Both were treated surgically. An analysis of these two cases and 9 others reported in the literature concerning arterial involvement in hydatic disease revealed the characteristic clinical, radiological and therapeutic features of this rare but serious complication.
我们报告了两例在摩洛哥拉巴特伊本·西那医院接受治疗的年轻患者出现包虫囊肿破裂进入主动脉的病例。第一例患者，在因怀疑左肺下叶包虫囊肿而进行的手术中，发现了降主动脉的假性包虫动脉瘤。尽管使用人工血管进行了重建，但患者在手术中因通过动脉瘤囊无法控制的出血导致失血过多而死亡。第二例是一名20岁女性，其胸腹主动脉的假性包虫动脉瘤通过下肢栓塞性缺血被发现。在进行主动脉-主动脉重建后，患者接受了阿苯达唑药物治疗。在随访期间，该患者出现了肾包虫囊肿和壁层囊肿。两者均接受了手术治疗。对这两例病例以及文献中报道的其他9例有关包虫病动脉受累的病例进行分析，揭示了这种罕见但严重并发症的特征性临床、放射学和治疗特点。
