Dirican A, Unal B, Ozgor D, Piskin T, Aydin C, Sumer F, Kayaalp C
Department of General Surgery, Inonu University Faculty of Medicine, Malatya, Turkey.
Case Rep Gastroenterol. 2008 Sep;2(3):439-43. doi: 10.1159/000161564. Epub 2008 Nov 18.
Rupture into the abdominal cavity is a rare but serious complication of hydatid disease that necessitates emergency surgical intervention. We present herein a case with mild abdominal symptoms due to hydatid cyst rupture into the peritoneum after trauma. A 24-year-old man was admitted to the emergency room with mild abdominal pain. His symptoms had started after a fall four days earlier. Ultrasonography and computed tomography showed cystic lesions in the liver and peritoneum with intraabdominal free fluid. He was treated surgically with partial cystectomy and falciformoplasty. Postoperative albendazole therapy was given for two months. There was not recurrence four months postoperatively at control computed tomography.
破裂进入腹腔是包虫病一种罕见但严重的并发症，需要紧急手术干预。我们在此报告一例因外伤后包虫囊肿破裂至腹膜而出现轻度腹部症状的病例。一名24岁男性因轻度腹痛入住急诊室。他的症状在四天前摔倒后开始出现。超声检查和计算机断层扫描显示肝脏和腹膜有囊性病变，伴有腹腔内游离液体。他接受了部分囊肿切除术和镰状韧带成形术的手术治疗。术后给予阿苯达唑治疗两个月。术后四个月的对照计算机断层扫描未发现复发。
