Tarnoveţchi C, Aprodu G S
Universităţii de Medicină şi Farmacie Gr. T. Popa Iaşi Spitalul de Pediatrie Bacău.
Rev Med Chir Soc Med Nat Iasi. 2010 Jan-Mar;114(1):152-6.
Hydatid disease, a parasitic infection caused by Echinococcus granulosus is relatively frequent in our country. Imaging techniques like ultrasound and CT made possible an early and accurate diagnosis prior to serious complications. Hydatid cysts can be ruptured spontaneously or following trauma. The authors report a case of multiple abdominal hydatid disease (hepatic, splenic and peritoneal) in a 11-year-old boy admitted into the Bacau County Hospital with severe abdominal pain and history of abdominal trauma 7 months ago in the right hypochondriac region. The case was managed surgically being performed pericystectomy, splenectomy and omentectomy. Albendazole was administered before and after surgery. The recovery course was uneventful and the evolution favorable. Although ruptured hydatid cyst of liver and multiple abdominal hydatid disease are rare clinic entities, in an endemic region as Romania, they should be taken into account when making the differential diagnosis of abdominal pain.
包虫病是由细粒棘球绦虫引起的一种寄生虫感染，在我国较为常见。超声和CT等成像技术使得在出现严重并发症之前能够进行早期准确的诊断。包虫囊肿可自发破裂或在创伤后破裂。作者报告了一例11岁男孩的多发性腹部包虫病（肝脏、脾脏和腹膜），该男孩因严重腹痛入住巴克乌县医院，7个月前在右季肋区有腹部创伤史。该病例通过手术进行了囊肿外膜切除术、脾切除术和网膜切除术。手术前后均给予阿苯达唑治疗。恢复过程顺利，病情进展良好。虽然肝包虫囊肿破裂和多发性腹部包虫病是罕见的临床病症，但在罗马尼亚这样的流行地区，在对腹痛进行鉴别诊断时应予以考虑。
