Ghosh Jayant K, Goyal Sundeep K, Behera Manas K, Dixit Vinod K, Jain Ashok K
Department of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India.
J Clin Exp Hepatol. 2014 Dec;4(4):366-9. doi: 10.1016/j.jceh.2014.11.002. Epub 2014 Nov 26.
Incidence of Hydatid disease in pregnancy ranges from 1in 20,000 to 1 in 30,000. The most common site of hydatid cysts is the liver. The diagnosis of liver hydatid cysts is not difficult but the management during pregnancy is problematic. Both medical and surgical treatments are available but there is no consensus and each case has to be individualized. We present a case of liver hydatid cyst presented with obstructive jaundice during pregnancy which was managed by Puncture of the cyst under USG guidance; Aspiration of the cystic fluid, Injection of hypertonic saline, and Re-aspiration of solution without drainage (PAIR) and albendazole therapy. Very few cases of liver hydatosis were reported previously which had been managed by PAIR.
孕期包虫病的发病率在万分之二至万分之三之间。包虫囊肿最常见的部位是肝脏。肝包虫囊肿的诊断并不困难，但孕期的治疗却存在问题。药物治疗和手术治疗都有，但尚无共识，每个病例都必须个体化处理。我们报告一例孕期出现梗阻性黄疸的肝包虫囊肿病例，该病例通过超声引导下囊肿穿刺；抽出囊液、注入高渗盐水、再次抽吸溶液但不引流（PAIR）以及阿苯达唑治疗进行处理。此前报道的经PAIR治疗的肝包虫病病例极少。
