Department of Digestive Surgery I, Mohammed V Military Hospital, Mohammed V Medical School of Rabat, Rabat, Morocco.
Am J Surg. 2010 Feb;199(2):e25-6. doi: 10.1016/j.amjsurg.2009.04.019. Epub 2009 Dec 2.
Retroperitoneal contamination may occur during the natural history of hydatid disease. Primary hydatid cyst of the retroperitoneum is extremely rare. The authors report a case of a giant retroperitoneal hydatid cyst. Clinicians and surgeons must be aware of this possibility and follow a policy of nonsystematic puncture of an abdominal cyst and avoid spillage during surgery. Symptoms are related to the size, location, or ensuing complications of a cyst. Its occurrence should be strongly suspected ahead of any abdominal cyst, especially in an endemic area, where it may act as a parasite. Total and careful surgical excision is the gold-standard therapy.
在包虫病的自然病程中可能会发生腹膜后污染。原发性腹膜后包虫囊肿极为罕见。作者报告了一例巨大腹膜后包虫囊肿。临床医生和外科医生必须意识到这种可能性，并遵循非系统性穿刺腹部囊肿的原则，避免在手术过程中囊肿破裂。症状与囊肿的大小、位置或随后的并发症有关。在任何腹部囊肿之前，尤其是在流行地区，都应强烈怀疑其存在，因为它可能是寄生虫。彻底的手术切除是金标准治疗。
