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甲状腺包虫囊肿合并气管瘘:一例病例报告及文献复习

Hydatid cyst of the thyroid gland with tracheal fistula: A case report and review of the literature.

作者信息

Jiang Tiemin, Guo Qiang, Ran Bo, Zhang Ruiqing, Aji Tuerganaili, Shao Yingmei

机构信息

Hepatobiliary and Hydatid Department of The Digestive and Vascular Surgery Centre, Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital, Xinjiang Medical University, Xinjiang, Urumqi 830054, P.R. China.

出版信息

Exp Ther Med. 2019 Jul;18(1):573-579. doi: 10.3892/etm.2019.7620. Epub 2019 May 28.

Abstract

Hydatid disease, also known as echinococcal disease, is a zoonotic disease caused by infection. Hydatid cysts of the thyroid are rare. The present case study reports on a patient with hydatid cyst in the thyroid with tracheal fistula. A 54-year-old male patient without any history of exposure to farm animals was hospitalized due to fever and productive cough with occasional hydatid daughter cyst. The patient was diagnosed with a hydatid cyst of the thyroid gland with tracheal fistula by relevant examination. An operation was performed to remove the hydatid cyst and to repair the fistula. The patient took oral albendazole after surgery to prevent hydatid recurrence. Operative recovery was uneventful and the patient resumed his normal activities. Prompt diagnosis and an appropriate surgical treatment prevented a potentially fatal outcome. Furthermore, the characteristics of thyroid cystic echinococcosis, and its diagnosis and treatment in the present case and other cases reported in the literature were summarized and reviewed. Although the thyroid gland is rarely affected, hydatid cyst disease should be considered as a differential diagnosis of cystic lesions of the thyroid gland in patients living in regions where hydatid cyst disease is endemic.

摘要

包虫病,也称为棘球蚴病,是一种由感染引起的人畜共患病。甲状腺包虫囊肿罕见。本病例研究报告了一名患有甲状腺包虫囊肿并伴有气管瘘的患者。一名54岁男性患者,无任何接触家畜史,因发热、咳痰伴偶尔咳出包虫子囊而住院。经相关检查,该患者被诊断为甲状腺包虫囊肿伴气管瘘。进行了手术以切除包虫囊肿并修复瘘管。患者术后口服阿苯达唑以预防包虫复发。手术恢复顺利,患者恢复了正常活动。及时诊断和适当的手术治疗避免了潜在的致命后果。此外,总结并回顾了甲状腺囊性棘球蚴病的特征及其在本病例和文献报道的其他病例中的诊断和治疗。尽管甲状腺很少受累,但对于生活在包虫囊肿病流行地区的患者,包虫囊肿病应被视为甲状腺囊性病变的鉴别诊断之一。

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