Ruiz-Rabelo Juan Francisco, Gomez-Alvarez Manuel, Sanchez-Rodriguez Joaquin, Rufian Peña Sebastian
Department of General Surgery, Reina Sofia University Hospital, Avda. Menendez Pidal SN, Cordoba 14004, Spain.
World J Gastroenterol. 2008 Mar 7;14(9):1467-9. doi: 10.3748/wjg.14.1467.
Echinococcal cysts are usually found in liver and lungs, but any other organ can potentially be involved. Extrahepatic disease due to hydatid cyst may develop in the abdominal and pelvic cavity, aside from in other less common locations, which may make both diagnosis and treatment more complex. We present a rare case of extrahepatic echinococcosis in a 70-year old patient with a 4-d history of dull abdominal pain, anemia within the transfusion range and fever. She underwent surgery for left renal hydatid cysts 30 years ago. After non operative treatment, imaging studies showed a calcified hydatid cyst in a retrogastric location communicating with a proximal jejunal loop. En-block resection of the mass together with the adrenal gland was performed including closure of the enteric fistula. Anatomic pathology confirmed the diagnosis of a calcified hydatid cyst of left adrenal origin. Surgery is the treatment of choice and most authors recommend removal of cyst and adrenal gland.
棘球蚴囊肿通常见于肝脏和肺部，但其他任何器官都有可能受累。除了其他一些不太常见的部位外，腹腔和盆腔也可能发生由包虫囊肿引起的肝外疾病，这可能会使诊断和治疗都更加复杂。我们报告一例罕见的肝外棘球蚴病病例，患者为一名70岁女性，有4天的腹部隐痛病史，处于输血范围的贫血以及发热。她30年前曾接受过左肾包虫囊肿手术。经过非手术治疗后，影像学检查显示胃后有一个钙化的包虫囊肿，与近端空肠袢相通。对肿块连同肾上腺进行了整块切除，包括封闭肠瘘。解剖病理学证实诊断为左肾上腺来源的钙化包虫囊肿。手术是首选的治疗方法，大多数作者建议切除囊肿和肾上腺。
