Fayyaz Afshan, Ghani Umar Fayyaz
Department of Radiology, Army Medical College, Rawalpindi.
J Coll Physicians Surg Pak. 2013 Dec;23(12):890-2.
Hydatid disease has varied presentations and may involve any part of the body with hydatid disease of the liver being the most common site. Hydatid disease of lesser sac is a rare entity. Different treatment options of hydatid liver disease are available which include surgical, medical and radiological management. Surgical management has its limitations in terms of cost, morbidity, mortality, rate of recurrence and patient fitness to undergo surgery. Medical management alone carries a low chance of cure. Radiological management with PAIR therapy (percutaneous aspiration, injection and re-aspiration) of hydatid liver disease has been well described in literature. However, hydatid disease of lesser sac in itself is a rare entity and its treatment with PAIR procedure has not been described before. We describe a case of hydatid disease of lesser sac treated with the PAIR procedure.
包虫病有多种表现形式,可累及身体的任何部位,其中肝脏包虫病最为常见。小网膜囊包虫病是一种罕见的病症。肝包虫病有多种治疗选择,包括手术、药物和放射治疗。手术治疗在成本、发病率、死亡率、复发率以及患者接受手术的身体状况方面存在局限性。单纯药物治疗治愈的几率较低。肝包虫病经皮穿刺抽吸、注射及再抽吸(PAIR)治疗的放射治疗方法在文献中有详细描述。然而,小网膜囊包虫病本身就是一种罕见病症,此前尚未有关于采用PAIR手术治疗该病的描述。我们报道一例采用PAIR手术治疗的小网膜囊包虫病病例。