Saghier M A, Taylor M C, Greenberg H M
Department of Surgery, University of Manitoba, Winnipeg, Manitoba;
Can J Infect Dis. 2001 May;12(3):178-82. doi: 10.1155/2001/302738.
Echinococcal cysts are unusual in Canada, and most cases seen are in immigrants. In northern Canadian communities, Echinococcus granulosis infection occasionally is acquired from dogs that feed on the entrails of caribou or moose. Seventeen patients with Canadian-acquired hydatid cysts were seen over an 11-year period. One challenging case is described in detail. An 18-year-old aboriginal woman presented with jaundice, pain, lower extremity edema and coagulopathy from a 26 cm echinococcal hepatic cyst. She was successfully treated with a combination of oral albendazole, percutaneous drainage and surgery. One-year follow-up showed no recurrence of disease. The management options for echinococcal cysts are extensively reviewed.
棘球蚴囊肿在加拿大并不常见，所见的大多数病例是移民。在加拿大北部社区，细粒棘球绦虫感染偶尔是通过食用北美驯鹿或驼鹿内脏的狗传播的。在11年期间共诊治了17例在加拿大感染包虫囊肿的患者。详细描述了其中一个具有挑战性的病例。一名18岁的原住民女性因一个26厘米的肝棘球蚴囊肿出现黄疸、疼痛、下肢水肿和凝血功能障碍。她通过口服阿苯达唑、经皮引流和手术联合治疗获得成功。一年随访显示无疾病复发。对棘球蚴囊肿的治疗选择进行了广泛综述。
