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罕见部位的包虫囊肿:翼腭窝-颞下窝

Hydatid cyst in unusual location: Pterygopalatine fossa-infratemporal fossa.

作者信息

Şahin Bayram, Çomoğlu Şenol, Polat Beldan, Değer Kemal

机构信息

University of Istanbul, Istanbul Medical Faculty Department of Otorhinolaryngology-Head and Neck Surgery, Istanbul, Turkey.

出版信息

Auris Nasus Larynx. 2016 Aug;43(4):464-7. doi: 10.1016/j.anl.2015.11.003. Epub 2015 Dec 3.

Abstract

INTRODUCTION

Hydatid Cyst is a zoonotic infection most commonly caused by larvae of the Echinococcus granulosus. Humans are an accidental intermediate host following ingestion of the larvae.

CASE REPORT

We report the case of a 16-year-old male patient presenting with a hydatid cyst in the pterygopalatine fossa. There was no pulmonary or hepatic involvement. The definitive therapy comprised excision of the cystic mass and postoperative medical treatment.

DISCUSSION

Pterygopalatine fossa involvement is reported in three cases in the literature. In this report we represent a case with pterygopalatine fossa hydatid cyst extending into infratemporal fossa.

CONCLUSION

The hydatid cyst of infratemporal and pterygopalatine fossa is extremely rare. Possibility of hydatid cyst should not be ignored at the differential diagnosis of cystic lesions in head and neck region, especially in endemic areas.

摘要

引言

包虫囊肿是一种人畜共患感染,最常见的病因是细粒棘球绦虫的幼虫。人类在摄入幼虫后成为意外中间宿主。

病例报告

我们报告了一名16岁男性患者,其翼腭窝出现包虫囊肿。无肺部或肝脏受累。确定性治疗包括切除囊性肿物及术后药物治疗。

讨论

文献报道了3例翼腭窝受累病例。在本报告中,我们展示了一例翼腭窝包虫囊肿延伸至颞下窝的病例。

结论

颞下窝和翼腭窝的包虫囊肿极为罕见。在头颈部囊性病变的鉴别诊断中,尤其是在流行地区,不应忽视包虫囊肿的可能性。

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