Alloubi Ihsan, Chadmi Tijani, Ezerrouki Abdelkader
Thoracic Surgery Department, Hospital Al Farabi, C.H.U, 60000 Oujda, Morocco.
Gen Thorac Cardiovasc Surg. 2012 Sep;60(9):593-4. doi: 10.1007/s11748-012-0050-2. Epub 2012 May 19.
Hydatid disease is a zoonotic infection caused by Echinoccosis granulosus and our country was an endemic area. Osseous localization is uncommon and can be confused with tumor. We present a case of a hydatid cyst with rib involvement in a 57-year-old man presented with thoracic pain and swelling mimicking chest wall tumor. We confirmed diagnosis only by surgical exploration and histopathology exam because radiology is not conclusive. Surgery remains the first choice for treatment in hydatid cyst disease that can remove the parasite radically. However, in osseous localization pre and postoperative course of albendazole for 6 months associated with surgery can help in sterilizing the cyst and reduce the recurrence rate. Hydatid cyst can involve all the thoracic structures; rib localization is rare and needs surgical resection for total eradication.
包虫病是由细粒棘球绦虫引起的一种人畜共患感染病,我国曾是流行区。骨包虫病较少见,易与肿瘤混淆。我们报告一例57岁男性,因肋骨受累出现包虫囊肿,表现为胸痛和肿胀,酷似胸壁肿瘤。由于影像学检查结果不明确,我们仅通过手术探查和组织病理学检查确诊。手术仍然是包虫囊肿病治疗的首选方法,可从根本上清除寄生虫。然而,对于骨包虫病,术前和术后服用阿苯达唑6个月并结合手术,有助于使囊肿无菌化并降低复发率。包虫囊肿可累及所有胸部结构;肋骨受累罕见,需要手术切除以彻底根除。