Herrera Merino N, Abascal Morte J, Díaz del Río Botas M, Peñalver R, Colás Vicente A, Sánchez Movilla A, Inchausti Teja J
Departamento de Cirugía, Clínica Puerta de Hierro, Madrid.
Rev Esp Enferm Dig. 1991 Apr;79(4):254-8.
The authors' experience with splenic hydatidosis is presented. Sixteen cases, representing 3% of the hydatidosis treated surgically in our center, are reviewed. Pain in the left upper quadrant, splenomegaly and calcifications detected by simple abdominal radiology are the most suggestive indications. The definitive diagnosis is based on abdominal echography and CT scan, which have the greatest sensitivity and specificity. The treatment should be surgical, attempting to preserve as much splenic tissue as possible, although in our experience, it is infrequent that conservative treatment can be used due to massive involvement of the spleen.
本文介绍了作者在脾包虫病方面的经验。回顾了16例病例，占本中心手术治疗包虫病的3%。左上腹疼痛、脾肿大以及腹部平片发现的钙化是最具提示性的指征。确诊基于腹部超声和CT扫描，它们具有最高的敏感性和特异性。治疗应采用手术方式，尽量保留脾组织，不过根据我们的经验，由于脾脏广泛受累，很少能采用保守治疗。
