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[肺栓塞后诊断出的包虫病]

[Hydatid disease diagnosed following a pulmonary embolism].

作者信息

Menassa-Moussa L, Braidy C, Riachy M, Tabet G, Smayra T, Haddad-Zebouni S, Ghossain M, Aoun N

机构信息

Service de radiologie, Hôtel-Dieu de France, boulevard Alfred-Naccache, Achrafieh, BP 16-6830, Beirut, Liban.

出版信息

J Mal Vasc. 2009 Nov;34(5):354-7. doi: 10.1016/j.jmv.2009.04.004. Epub 2009 Jul 16.

Abstract

Hydatidosis is a parasitic disease found worldwide, particularly in Mediterranean countries, caused by Echinococcus granulosis infection. Humans are an intermediate and accidental host in the cycle of this parasite. The hydatid pulmonary arterial embolism is extremely rare, usually arising in the heart or the liver. We report a case of hydatid pulmonary embolism explored with multidetector scanner and MRI, and confirmed at pathology of the operative specimen. To our knowledge, this is the first case of inaugural hydatid pulmonary arterial embolism found on CT scan establishing the diagnosis of the disease in a patient who had no other location of hydatid cyst.

摘要

包虫病是一种在全球范围内发现的寄生虫病,尤其在地中海国家,由细粒棘球绦虫感染引起。人类是这种寄生虫生命周期中的中间宿主和偶然宿主。包虫性肺动脉栓塞极为罕见,通常发生在心脏或肝脏。我们报告一例经多排探测器扫描仪和磁共振成像检查的包虫性肺栓塞病例,并在手术标本病理检查中得到证实。据我们所知,这是首例在计算机断层扫描上发现的首发包虫性肺动脉栓塞病例,该病例在没有其他包虫囊肿部位的患者中确诊了该病。

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