Amro Lamyae, Fadili Saloua El, Serhane Hind, Sajiai Hafsa, Batahar Salma Ait
Service de Pneumologie, Hôpital Arrazi, CHU Mohamed VI, Laboratoire PCIM, UCAM, Marrakech, Maroc.
Pan Afr Med J. 2017 Apr 24;26:214. doi: 10.11604/pamj.2017.26.214.11806. eCollection 2017.
Hydatid cyst is an infectious disease which is quite frequent in Morocco. Pelvic and pancreatic locations of this parasitic infection are rare, namely exceptional. We report the case of a 66-year old patient who was operated for liver hydatic cyst 6 years before, presenting for chest pain associated with hydatidoptysis. Chest X-ray objectified left hydropneumothorax. Thoraco-abdominopelvic CT showed mediastinal liquid mass as well as multiple hepatic, pancreatic (isthmus), pelvic and left under diaphragmatic cystic lesions. Hydatid serology was positive. Treatment involved thoracotomy associated with medical treatment.
包虫囊肿是一种在摩洛哥相当常见的传染病。这种寄生虫感染在盆腔和胰腺部位较为罕见,可谓极其罕见。我们报告一例66岁患者,该患者6年前因肝包虫囊肿接受手术,此次因胸痛伴咳出包虫囊液前来就诊。胸部X线检查显示左侧液气胸。胸腹部盆腔CT显示纵隔液性肿块以及多个肝脏、胰腺(峡部)、盆腔和左侧膈下囊性病变。包虫血清学检查呈阳性。治疗包括开胸手术及药物治疗。