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骨盆、股骨及腹膜后间隙巨大包虫囊肿:扩大半骨盆切除术的外科治疗

Giant hydatid cyst of the pelvis, femur and retroperitoneal space: surgical treatment with extended hemipelvectomy.

作者信息

Tsagozis Panagiotis, Brosjö Otte

机构信息

Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden.

出版信息

BMJ Case Rep. 2015 May 12;2015:bcr2015209715. doi: 10.1136/bcr-2015-209715.

Abstract

Hydatid disease of the bone is a very rare manifestation of the disease, and is often associated with debilitating symptoms. We present a rare case of skeletal hydatidosis in a 56-year-old man who had been misdiagnosed for many years. Massive involvement of the pelvic bones and soft tissues was evident. An extended hemipelvectomy was performed in order to achieve resection of the affected segments with a clear surgical margin. The patient recovered uneventfully and there are no signs of recurrence of the disease.

摘要

骨包虫病是该疾病一种非常罕见的表现形式,且常伴有使人衰弱的症状。我们报告一例56岁男性的罕见骨骼包虫病病例,该患者多年来一直被误诊。骨盆骨骼和软组织明显受到广泛累及。为了实现对受累节段的切除并获得清晰的手术切缘,进行了扩大半骨盆切除术。患者恢复顺利,且无疾病复发迹象。

相似文献

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Primary Retroperitoneal Hydatid Cyst.原发性腹膜后包虫囊肿
Am J Med Sci. 2015 Dec;350(6):e6. doi: 10.1097/MAJ.0000000000000494.

本文引用的文献

1
Treatment challenges associated with bone echinococcosis.与骨包虫病相关的治疗挑战。
J Antimicrob Chemother. 2014 Mar;69(3):821-6. doi: 10.1093/jac/dkt429. Epub 2013 Nov 11.
2
Treatment experiences of pelvic bone hydatidosis.盆腔骨包虫病的治疗经验。
Int J Infect Dis. 2014 Jan;18:57-61. doi: 10.1016/j.ijid.2013.09.010. Epub 2013 Oct 26.
6
Update on cystic hydatid disease.包虫病最新进展。
Curr Opin Infect Dis. 2009 Oct;22(5):497-502. doi: 10.1097/QCO.0b013e328330331c.
8
Osseous hydatid disease.骨包虫病
Trans R Soc Trop Med Hyg. 2008 Mar;102(3):233-8. doi: 10.1016/j.trstmh.2007.09.012. Epub 2007 Nov 9.

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