Venissac Nicolas, Alifano Marco, Mouroux Jérôme
Service de Chirurgie Thoracique, Hôpital Pasteur, C.H.U. de Nice, Nice, France.
Surg Today. 2002;32(11):1023-5. doi: 10.1007/s005950200207.
The intrathoracic rupture of a splenic hydatid cyst is very unusual. We report herein the case of a 29-year-old man who presented with a left-sided pleural effusion associated with fever and chest pain. The patient underwent laparotomy and splenectomy en bloc with a portion of gastric wall and diaphragm, followed by irrigation of the pleural cavity with a hypertonic solution through a phrenotomy. His outcome was favorable and there was no recurrence at 2-year follow-up.
脾包虫囊肿的胸腔内破裂非常罕见。我们在此报告一例29岁男性患者，其表现为左侧胸腔积液并伴有发热和胸痛。患者接受了剖腹手术，将脾脏、部分胃壁和膈肌整块切除，随后通过膈切开术用高渗溶液冲洗胸腔。他的预后良好，在2年的随访中无复发。
