Diwakar Deepak Kumar, Wadhwani Nikita, Prasad Nikhil, Gupta Ashwani
General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India.
BMJ Case Rep. 2018 Sep 26;2018:bcr-2018-226217. doi: 10.1136/bcr-2018-226217.
Lymphatic filariasis is caused by nematode filariae , or It is commonly seen in tropical and subtropical regions of the world and affects the lymphatic system of humans, who are the definitive host while mosquito is the intermediate host. The most common manifestation of the disease is hydrocele followed by lower limb lymphoedema and elephantiasis. Although filariasis is much more common entity in north India, its presentation as retroperitoneal cyst is very rare with reported incidence rate of 1/105 000. We present a case of primary retroperitoneal filariasis in a 52-year-old man, without any classic signsandsymptoms, diagnosed postoperatively after surgical resection following diagnostic uncertaintyandfailure of other medical therapies.
淋巴丝虫病由线虫丝虫引起,常见于世界热带和亚热带地区,影响人类的淋巴系统,人类是终宿主,而蚊子是中间宿主。该疾病最常见的表现是鞘膜积液,其次是下肢淋巴水肿和象皮肿。虽然丝虫病在印度北部更为常见,但以腹膜后囊肿形式出现却非常罕见,报告发病率为1/105000。我们报告一例52岁男性原发性腹膜后丝虫病病例,该患者无任何典型症状和体征,在诊断不明且其他治疗方法无效后,经手术切除并在术后确诊。