Mushtaque Majid, Mir Mohammad Farooq, Nazir Parvez, Khan Parwez Sajad
Department of Surgery, Sher i Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
Urol Ann. 2012 May;4(2):122-5. doi: 10.4103/0974-7796.95571.
Hydatid disease of the organs other than liver and lung is extremely rare. Although hydatid disease is endemic in India, we report a rare case of hydatid cyst in a young male primarily involving the seminal vesicle and aim to highlight the management of such cases. A 23 year old male farmer diagnosed with primary isolated echinococcal cyst of the seminal vesicle has been presented. Thorough investigations with radiological methods such as ultrasonography (abdominal and trans-rectal), and magnetic resonance imaging were carried out to aid in the diagnosis. Surgical excision of the lesion was carried out with careful removal of the cyst to prevent any bursting and spillage, leaving the seminal vesicle preserved. The cystic lesion was subjected to histopathological examination. Histopathology confirmed the diagnosis of hydatid disease. Postoperative period was uncomplicated and patient was discharged on seventh postoperative day. Patient was put on albendazole (10 mg/kg/day) for three cycles of 21 days each with a gap of one week between each cycle. There was no evidence of recurrence or development of cysts elsewhere in the body during the 2 year follow-up. Hydatid cyst of seminal vesicle is rare and should be kept in differential diagnosis of a cystic lesion in pelvis especially in regions where hydatid disease is endemic. Proper surgical and medical management to avoid any recurrences, and a regular follow-up, are of utmost importance to detect any late complications such as local recurrence of the disease and development of hydatidosis at the primary sites.
肝肺以外器官的包虫病极为罕见。尽管包虫病在印度为地方病，但我们报告了一例主要累及精囊的年轻男性包虫囊肿罕见病例，并旨在强调此类病例的治疗方法。本文介绍了一名23岁男性农民，被诊断为原发性孤立性精囊棘球蚴囊肿。采用超声检查（腹部及经直肠）和磁共振成像等放射学方法进行了全面检查以辅助诊断。对病变进行了手术切除，小心地摘除囊肿以防止破裂和溢出，保留了精囊。对囊性病变进行了组织病理学检查。组织病理学确诊为包虫病。术后过程无并发症，患者于术后第7天出院。患者服用阿苯达唑（10 mg/kg/天），共三个疗程，每个疗程21天，疗程之间间隔一周。在2年的随访期间，没有证据表明身体其他部位有囊肿复发或出现。精囊包虫囊肿罕见，在包虫病流行地区，对于盆腔囊性病变应将其列入鉴别诊断。采取适当的手术和药物治疗以避免复发，并进行定期随访，对于发现任何晚期并发症（如疾病局部复发和原发部位包虫病的发展）至关重要。
