Murthy Ramesh, Honavar Santosh G, Vemuganti Geeta K, Naik Milind, Burman Sanghamitra
Division of Ophthalmic Plastic Surgery, Orbit, and Ocular Oncology, LV Prasad Eye Institute, LV Prasad Marg, Banjara Hills, Hyderabad 500-034, India.
Am J Ophthalmol. 2005 Sep;140(3):561-3. doi: 10.1016/j.ajo.2005.03.048.
To report a case of polycystic echinococcosis of the orbit caused by Echinococcus oligarthrus.
Interventional case report.
A 14-year-old girl presented with a massive proptosis of the right eye of 9 years duration and loss of vision. The eye was phthisic, and a cystic mass was palpable. Computed tomography scan showed closely packed multiple orbital cysts with destruction of the medial orbital wall. Surgical exploration was performed.
The phthisic eye was enucleated. Dissection of the outer fibrous capsule yielded approximately 30 intact translucent white cysts of various sizes that were suggestive of polycystic echinococcosis. The diagnosis of echinococcosis was confirmed on histopathologic evaluation. The specific diagnosis of E oligarthrus was made on the basis of the presence of straight-backed hooks and central guards.
Polycystic echinococcosis of the orbit caused by E oligarthrus is rare. It may be an entirely new entity or hitherto unrecognized form of orbital echinococcosis.
报告一例由少节棘球绦虫引起的眼眶多囊性棘球蚴病病例。
介入性病例报告。
一名14岁女孩，右眼进行性眼球突出9年，视力丧失。眼球萎缩，可触及囊性肿物。计算机断层扫描显示眼眶内多个囊肿紧密排列，眶内侧壁破坏。进行了手术探查。
摘除了萎缩眼球。剥离外层纤维囊后得到约30个完整的半透明白色囊肿，大小不一，提示为多囊性棘球蚴病。组织病理学评估证实为棘球蚴病。根据直背小钩和中央小钩的存在，确诊为少节棘球绦虫。
由少节棘球绦虫引起的眼眶多囊性棘球蚴病罕见。它可能是一种全新的实体，或者是迄今未被认识的眼眶棘球蚴病形式。
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