Nouira Kaïs, Hila Hassen, Bedioui Haykel, Baccar Sofiane, Ben Messaoud Monia, Ksantini Rachid, Jouini Mohamed, Menif Emna, Ben Safta Zoubeir
Service de Radiologie, Hôpital La Rabta, Tunis, Tunisie.
Tunis Med. 2007 Nov;85(11):979-81.
Rupture of hydatid cyst in the digestive tract is a rare complication even in endemic areas.
Authors report a case of a hydatid cyst of the left hepatic lobe ruptured in the duodenum
was discovered at the occasion of epigastric pain and vomiting. Ct-scan revealed presence of air in a calcified hydatid cyst of the left liver lobe and a fistulous tract between the cyst and the duodenum. Endoscopy confirmed the diagnosis by the visualisation of a fistulous orifice of the anterior aspect of the first duodenum with a protrusion of hydatid membrane. Patient was treated surgically and had a partial cysto-pericystectomy and suture of duodenum.
即使在流行地区,消化道包虫囊肿破裂也是一种罕见的并发症。
作者报告一例左肝叶包虫囊肿破裂至十二指肠的病例。
因上腹部疼痛和呕吐而被发现。CT扫描显示左肝叶钙化包虫囊肿内有气体,囊肿与十二指肠之间有瘘管。内镜检查通过观察十二指肠第一部前壁的瘘口及包虫膜突出而确诊。患者接受了手术治疗,行部分囊肿-外囊切除术及十二指肠缝合术。