Siqueira Nilton Ghiotti, de Almeida Fernanda Barbosa, Chalub Sidney Raimundo Silva, Machado-Silva José Roberto, Rodrigues-Silva Rosângela
Fundação Hospital Estadual do Acre, Acre, Brazil.
Trans R Soc Trop Med Hyg. 2007 Jun;101(6):624-6. doi: 10.1016/j.trstmh.2006.08.002. Epub 2006 Oct 2.
Echinococcus vogeli has been reported to cause human polycystic echinococcosis. A 43-year-old Brazilian woman was admitted to hospital complaining of mild epigastric discomfort. Computed tomography (CT) revealed multiple cystic lesions with calcified edges in several hepatic segments. At exploratory laparotomy, polycystic lesions were excised from the liver, omentum and peritoneum. No remaining cysts were observed on a post-surgery CT scan. The patient was asymptomatic when discharged on Day 19 post-operatively. She was prescribed albendazole therapy for 6 months. Follow-up CT performed 11 months later revealed no evidence of recurrence. Surgery combined with chemotherapy may improve the quality of life of patients with polycystic echinococcosis.
已报告多房棘球绦虫可导致人类多囊性包虫病。一名43岁的巴西女性因上腹部轻度不适入院。计算机断层扫描（CT）显示多个肝段有边缘钙化的囊性病变。在剖腹探查术中，从肝脏、网膜和腹膜切除了多囊性病变。术后CT扫描未发现残留囊肿。患者在术后第19天出院时无症状。她接受了6个月的阿苯达唑治疗。11个月后进行的随访CT显示没有复发迹象。手术联合化疗可能改善多囊性包虫病患者的生活质量。
