Abhishek V, Patil Vijayraj S, Mohan Ullikashi, Shivswamy B S
Department of General Surgery, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore 560002, India.
Case Rep Surg. 2012;2012:583294. doi: 10.1155/2012/583294. Epub 2012 Aug 16.
A 60-year-old woman presented with a swelling in right paraumbilical region of one-year duration. Examination revealed a painless cystic swelling 15 × 10 cm with cough impulse. Ultrasound and CECT abdomen showed a subcutaneous cystic swelling with intramuscular extension. No other intraabdominal cystic lesions were found. Surgical exploration showed a cystic lesion adherent to peritoneum without any intraperitoneal extension. Cyst was carefully excised without any spillage. Gross specimen on opening showed multiple daughter cysts consistent with hydatid cyst, confirming the diagnosis of solitary abdominal wall hydatid cyst.
一名60岁女性,右脐旁区域出现肿物,病程1年。检查发现一个15×10厘米的无痛性囊性肿物,有咳嗽冲击感。腹部超声和CT检查显示皮下囊性肿物并向肌肉内延伸。未发现其他腹腔内囊性病变。手术探查发现一个与腹膜粘连的囊性病变,无腹腔内延伸。囊肿被小心切除,无内容物外溢。打开后的大体标本显示多个子囊,符合包虫囊肿,确诊为孤立性腹壁包虫囊肿。