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酷似膈肌肿瘤的原发性膈肌包虫囊肿:一例报告

Primary Hydatid Cyst of the Diaphragm Mimicking Diaphragmatic Tumour: A Case Report.

作者信息

Kumar Vinay Kumar Doddaballapur Prasanna, Shetty Shama, Saxena Rajat

机构信息

Assistant Professor, Department of Radiodiagnosis, Adichunchangiri Institute of Medical Sciences Bellur, Mandya District, Karnataka, B.G.Nagar, India .

Junior Resident, Department of Radiodiagnosis, Adichunchangiri Institute of Medical Sciences Bellur, Mandya District, Karnataka, B.G.Nagar, India .

出版信息

J Clin Diagn Res. 2015 Aug;9(8):TD03-4. doi: 10.7860/JCDR/2015/13278.6346. Epub 2015 Aug 1.

Abstract

Echinococcus commonly affects the liver and the lung, but several organs can be affected by this disease. The isolated primary diaphragmatic hydatid cyst, not associated with liver or lung, is very rare. We report a case of hydatid cyst in a 55-year-old male, located in the abdominal side of the left hemidiaphragm which mimicked a hypovascular diaphragmatic tumour and exophytic splenic cyst. In our case the diagnosis was confirmed only with histopathological examination done after surgical excision of the cyst. The aim of this work lies in the fact that knowledge of this clinical entity especially in endemic areas as in India will enable radiologists to guide the clinicians in proper diagnosis and adequate pre-operative planning.

摘要

棘球绦虫通常侵袭肝脏和肺,但该疾病也可累及多个器官。孤立的原发性膈肌包虫囊肿,不伴有肝脏或肺部病变,极为罕见。我们报告一例55岁男性患者,其左半膈肌腹侧出现包虫囊肿,该囊肿类似乏血供的膈肌肿瘤及脾外生性囊肿。在我们的病例中,仅通过囊肿手术切除后的组织病理学检查才得以确诊。本文的目的在于,鉴于印度等流行地区对这一临床实体的认识,放射科医生可以指导临床医生进行正确诊断和充分的术前规划。

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