Crow J P, Larry M, Vento E G, Prinz R A
Loyola University Stritch School of Medicine, Department of Surgery, Maywood, IL 60153.
HPB Surg. 1990 Apr;2(2):115-9. doi: 10.1155/1990/93620.
Although echinococcal disease of the liver is common in some parts of the world, it is rarely seen in the United States. Even from endemic areas, few reports deal with its treatment during pregnancy. A 25 year old 18 week pregnant Italian woman presented with pruritus and right upper quadrant pain. Ultrasound revealed a cystic lesion in the left lobe of the liver. The cyst was treated by operative insertion of hypertonic saline and capsulorrhaphy. The patient and her fetus had no postoperative complications. We believe that the pregnant patient with symptomatic hepatic echinococcal disease should be treated operatively and that insertion of hypertonic saline and capsulorrhaphy is the safest and most effective technique for both the mother and fetus.
虽然肝包虫病在世界某些地区很常见，但在美国却很少见。即使是来自流行地区，也很少有关于其在孕期治疗的报道。一名25岁、孕18周的意大利女性出现瘙痒和右上腹疼痛。超声检查发现肝脏左叶有一个囊性病变。通过手术注入高渗盐水并进行囊肿缝合术对囊肿进行了治疗。患者及其胎儿术后均无并发症。我们认为，有症状的肝包虫病孕妇应接受手术治疗，并且注入高渗盐水和囊肿缝合术对母亲和胎儿来说是最安全、最有效的技术。
