原发性胸壁包虫囊肿：文献综述及1例新病例报告
Primary chest wall Hydatid cyst: Review of literature with report of a new case.
作者信息
Salih Abdulwahid M, Ahmed Dilshad M, Kakamad Fahmi H, Essa Rawand A, Hunar A H, Ali Hanna M
机构信息
Faculty of Medical Sciences, School of Medicine, Department Surgery, University of Sulaimani, François Mitterrand Street, Sulaymaniyah, Kurdistan, Iraq.
Rania General Hospital, Department of Surgery, Rania, Kurdistan, Iraq.
出版信息
Int J Surg Case Rep. 2017 Nov 8;41:404-406. doi: 10.1016/j.ijscr.2017.10.051. eCollection 2017.
INTRODUCTION
Hydatid cyst is a parasitic disease caused by Echinococci. The most commonly affected organ is liver, followed by lungs. Hydatid disease of the chest wall is extremely rare. The aim of this study is to report a case of chest wall Hydatid cyst with literature review. A 20-year-old pregnant lady presented with left hypochondrial and lower chest painful swelling. There was 10 × 15 centimeters, tender mass with features suggestive of abscess. The patient refused every sort of radiological examination. Under general anesthesia, oblique incision was done, on opening, clear fluid came out, with deep incision pus-like fluid and many daughter cysts drained. Complete evacuation of the cyst was done with closure of the residual cavity. The patient refused chemoprophylaxis because of her pregnancy.
CONCLUSION
primary chest wall Hydatid cyst is a very rare disease in endemic areas. Mass and pain are the most common presentation. Excision under general anesthesia is main modality of treatment.
引言
包虫囊肿是由棘球绦虫引起的一种寄生虫病。最常受累的器官是肝脏，其次是肺。胸壁包虫病极为罕见。本研究的目的是报告一例胸壁包虫囊肿病例并进行文献复习。一名20岁的孕妇出现左季肋部和下胸部疼痛性肿胀。有一个10×15厘米的压痛肿块，具有提示脓肿的特征。患者拒绝接受任何形式的放射学检查。在全身麻醉下，做了斜切口，打开后流出清澈液体，深部切口有脓性液体流出，并有许多子囊排出。囊肿完全清除后关闭残留腔隙。由于患者怀孕，她拒绝进行化学预防。
结论
在流行地区，原发性胸壁包虫囊肿是一种非常罕见的疾病。肿块和疼痛是最常见的表现。全身麻醉下切除是主要的治疗方式。
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