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严重播散性快速进展性包虫囊肿的异常表现:恶性包虫病

Unusual presentation of severely disseminated and rapidly progressive hydatic cyst: Malignant hydatidosis.

作者信息

Hammami Aya, Hellara Olfa, Mnari Walid, Loussaief Chaouki, Bedioui Fethia, Safer Leila, Golli Mondher, Chakroun Mohamed, Saffar Hammouda

机构信息

Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.

出版信息

World J Hepatol. 2015 Mar 27;7(3):633-7. doi: 10.4254/wjh.v7.i3.633.

Abstract

The infection caused by the tapeworm Echinococcus granulosus leads to the development of hydatic disease. It is the most frequent mediterranean parasitic infection that commonly affects the liver and rarely involves multiple organs. Herein, we report an exceptional and confusing presentation of hepatopulmonary and splenic hydatidosis due to Echinococcus granulosus that caused diagnostic problems occuring in a 70-year-old man, treated with chemotherapy, with favorable outcome. This was a very unusual case of disseminated hydatid cyst highlighting the interest of keeping a high level of clinical suspicion of this diagnosis every time we have a cystic lesion of the liver.

摘要

细粒棘球绦虫感染会导致包虫病的发生。它是地中海地区最常见的寄生虫感染,通常影响肝脏,很少累及多个器官。在此,我们报告一例由细粒棘球绦虫引起的肝肺和脾包虫病的特殊且令人困惑的病例,该病例给一名70岁接受化疗的男性带来了诊断难题,但最终预后良好。这是一例非常罕见的播散性包虫囊肿病例,突出了每当遇到肝脏囊性病变时都要高度怀疑该诊断的重要性。

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