Agarwal P K, Husain N, Singh B N
Department of Pathology, King George's Medical College, Lucknow, India.
Acta Cytol. 1989 Sep-Oct;33(5):652-4.
A case of hydatid disease of the liver diagnosed by accidental needle aspiration of a cyst is reported. The patient presented with multiple symptoms, whose cause could not be readily determined. Since an amoebic abscess of the tender and enlarged liver was one possibility, that organ was aspirated with an 18-gauge needle, producing about 200 mL of slightly turbid fluid; the patient went into anaphylactic shock following the procedure, but was revived. Smears of the fluid showed brood capsules, free scolices and scattered hooklets pathognomonic of Echinococcus. The cytologic diagnosis of echinococcosis was confirmed by histopathologic examination of the surgically removed cysts.
报告了一例因意外针刺囊肿而诊断出的肝包虫病病例。患者出现多种症状，病因难以迅速确定。由于肝脏压痛且肿大，阿米巴脓肿是一种可能，于是用18号针进行穿刺，抽出约200毫升稍浑浊的液体；穿刺后患者发生过敏性休克，但经抢救苏醒。液体涂片显示有育囊、游离头节和散在的小钩，这是棘球绦虫的特征性表现。手术切除囊肿的组织病理学检查证实了包虫病的细胞学诊断。
