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原发性盆腔包虫囊肿:一例以梗阻性尿路病表现的罕见病例。

Primary pelvic hydatid cyst: A rare case presenting with obstructive uropathy.

作者信息

Kumar Neeraj, Garg Raghav, Namdeo Ratnakar

机构信息

Dept. of General Surgery, VMMC & SJH, New Delhi, India.

Dept. of General Surgery, VMMC & SJH, New Delhi, India.

出版信息

Int J Surg Case Rep. 2018;53:277-280. doi: 10.1016/j.ijscr.2018.09.044. Epub 2018 Oct 5.

Abstract

INTRODUCTION

Hydatid disease is caused by infection with larva of the cestode echinococcus. Humans are accidental intermediate hosts. Primary pelvic hydatid cyst is a rare entity.

PRESENTATION OF CASE

This is a case report of a 50 year old gentleman who presented to us as a case of suprapubic swelling and difficulty in micturition. General physical examination and radiological evaluation confirmed a multiloculated pelvic swelling. Patient was subjected to laparotomy which confirmed the diagnosis of a primary pelvic hydatid disease.

DISCUSSION

Surgery is the optimal treatment of the pelvic hydatid disease. Radical resectional procedure or en bloc resection that removes the entire pericyst is the surgical technique of choice.

CONCLUSION

Familiarity with atypical manifestations of hydatid disease may be helpful in making a prompt and accurate diagnosis. Surgery is the treatment of choice.

摘要

引言

包虫病由绦虫棘球蚴的幼虫感染引起。人类是偶然的中间宿主。原发性盆腔包虫囊肿是一种罕见的病症。

病例介绍

这是一例50岁男性患者的病例报告,该患者因耻骨上肿胀和排尿困难前来就诊。全身体格检查和影像学评估证实盆腔有一个多房性肿物。患者接受了剖腹手术,确诊为原发性盆腔包虫病。

讨论

手术是盆腔包虫病的最佳治疗方法。根治性切除手术或整块切除整个包囊周围组织是首选的手术技术。

结论

熟悉包虫病的非典型表现可能有助于做出快速准确的诊断。手术是首选的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c061/6240708/3888defccd93/gr1.jpg

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