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病例报告:子宫原发性包虫囊肿

A case report: Primary hydatid cyst of uterus.

作者信息

Kakaei Farzad, Asvadi Kermani Touraj, Tarvirdizade Kawsar

机构信息

Department of Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Int J Surg Case Rep. 2018;42:67-69. doi: 10.1016/j.ijscr.2017.10.068. Epub 2017 Dec 1.

Abstract

INTRODUCTION

Echinococcus granulosus is a parasitic tape worm. The definitive host is the dog and humans are one of its intermediate hosts. It involves organs such as liver and lungs. Uterus involvement is very rare.

PRESENTATION OF CASE

We here report a case of primary uterus hydatid cyst that we had to remove her uterine on left ovary and fallopian tube. Generalized toxic shock and infection due to cyst rupture or organ dysfunction due to invasion (like our patient) or pressure of cyst are complications of this cyst.

DISCUSSION

Because of low incidence of hydatid cysts in uterus it can be misdiagnosed by mimicking other conditions such as multi-cystic ovarian tumor, hemorrhagic ovarian cyst, endometrioma, cystadenoma, leiomyoma and etc.

CONCLUSION

Especially in endemic area for this parasite, one of differential diagnoses of pelvic cyst must be echinococcosis.

摘要

引言

细粒棘球绦虫是一种寄生性绦虫。终末宿主是狗,人类是其中间宿主之一。它可累及肝脏和肺等器官。子宫受累非常罕见。

病例介绍

我们在此报告一例原发性子宫包虫囊肿病例,我们不得不切除其左侧卵巢和输卵管的子宫。囊肿破裂导致的全身性中毒性休克和感染,或因囊肿侵袭(如我们的患者)或压迫导致的器官功能障碍,是这种囊肿的并发症。

讨论

由于子宫包虫囊肿发病率低,它可能会被误诊为其他病症,如多囊卵巢肿瘤、出血性卵巢囊肿、子宫内膜瘤、囊腺瘤、平滑肌瘤等。

结论

特别是在这种寄生虫的流行地区,盆腔囊肿的鉴别诊断之一必须是包虫病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6fd/5985249/c5f89196e38f/gr1.jpg

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