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原发性眼眶巨大包虫囊肿1例罕见病例

A Rare Case of Giant Primary Orbital Hydatid Cyst.

作者信息

Kumar Ambuj, Parihar Vijay, Yadav Yad Ram, Shrivastava Vijay, Patel Neha K

机构信息

Department of Neurosurgery, NSCB Medical College, Jabalpur, India.

Department of Neurosurgery, NSCB Medical College, Jabalpur, India.

出版信息

World Neurosurg. 2019 Apr;124:197-200. doi: 10.1016/j.wneu.2018.12.208. Epub 2019 Jan 18.

DOI:10.1016/j.wneu.2018.12.208
PMID:30660876
Abstract

BACKGROUND

Primary orbital involvement is extremely rare in echinococcosis. We report a case of giant orbital hydatid cyst in a 15-year-old boy.

CASE DESCRIPTION

A 15-year-old boy presented with left-side proptosis and gradual painless vision loss. Computed tomography and magnetic resonance imaging revealed a giant multilocular cystic orbital lesion extending into subfrontal region. Surgical excision was done. Histopathology was suggestive of hydatid cyst. Postoperatively, an antiparasitic agent was administered for 3 months.

CONCLUSIONS

Hydatic cyst should be kept in differential diagnosis of orbital cystic lesions, especially in pediatric population and endemic areas.

摘要

背景

原发性眼眶受累在棘球蚴病中极为罕见。我们报告一例15岁男孩的巨大眼眶包虫囊肿病例。

病例描述

一名15岁男孩出现左侧眼球突出和逐渐加重的无痛性视力丧失。计算机断层扫描和磁共振成像显示一个巨大的多房囊性眼眶病变延伸至额下区域。进行了手术切除。组织病理学提示为包虫囊肿。术后给予抗寄生虫药物治疗3个月。

结论

包虫囊肿应列入眼眶囊性病变的鉴别诊断,尤其是在儿童人群和流行地区。

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引用本文的文献

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Orbital intramuscular hydatid cyst causing compressive optic neuropathy: a case report and literature review.眶内肌间包虫囊肿致压迫性视神经病变:病例报告及文献复习。
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