Gulmez Mehmet, Celik Aysun Simsek, Alkan Sevcan, Koban Bugu Usanma, Onal Rumeysa Soyalan, Uzun Mehmet Ali
Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Department of Family Medicine, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
North Clin Istanb. 2015 Sep 25;2(2):152-154. doi: 10.14744/nci.2015.58066. eCollection 2015.
Human body is an intermediate host for Echinococcus granulosus which is a cestode causing hydatid disease. The most common type is E. Granulosus. E. Granulosus most often affects the liver and the lung. Primary subcutaneous cyst hydatid without involving other organs is extremely rare. A 60-year-old Turkish woman came to our hospital with a growing mass in the left periumblical region of the abdominal wall. In the superficial tissue ultrasonography a cystic mass measuring 3×2 cm was detected in the subcutaneous tissue of left periumblical region of the abdominal wall and it was doubtful for hydatid cyst. The patient had no history of surgery for a hydatid cyst in any other organ and the hydatid serology was negative. The cyst was surgically, and carefully excised. Macroscopic exploration suggested a hydatid cyst with its germinative membrane and the histopathological examination of the specimen was reported as a hydatid cyst. Hydatid cyst should be considered when a subcutaneous cytic mass is detected in a patient living in the region where the disease is endemic. The best treatment is complete removal of the cysts.
人体是细粒棘球绦虫的中间宿主,细粒棘球绦虫是一种引起包虫病的绦虫。最常见的类型是细粒棘球绦虫。细粒棘球绦虫最常累及肝脏和肺。原发性皮下包虫囊肿而不累及其他器官极为罕见。一名60岁的土耳其女性因腹壁左脐周区域肿物增大前来我院就诊。在浅表组织超声检查中,在腹壁左脐周区域的皮下组织中检测到一个3×2 cm的囊性肿物,怀疑为包虫囊肿。该患者既往无其他器官包虫囊肿手术史,包虫血清学检查为阴性。囊肿通过手术小心切除。肉眼检查提示为带有生发膜的包虫囊肿,标本的组织病理学检查报告为包虫囊肿。在疾病流行地区的患者中,当检测到皮下囊性肿物时应考虑包虫囊肿。最佳治疗方法是完全切除囊肿。