Mohammed Ayad Ahmad, Arif Sardar Hassan
Department of Surgery, University of Duhok, College of Medicine, DUHOK, Kurdistan Region, Iraq.
J Surg Case Rep. 2019 Jul 23;2019(7):rjz208. doi: 10.1093/jscr/rjz208. eCollection 2019 Jul.
Hydatid disease is caused by a tape worm that lives in the intestines of the definitive host which is the dog or other carnivore. Human is the accidental intermediate host and become infected by ingesting contaminated vegetables or water with the eggs of the parasite. A-37-year old male presented with right side abdominal pain for 2 months. Abdominal examination showed a large right side abdominal mass extending from the right subcostal region to the right iliac fossa. CT-scan showed two cystic lesions in the right lobe of the and a third one extending to the pelvis. During surgery aspiration of 10 liters of bile stained fluid done. Excision of the cysts done. Tube drain put inside the cyst cavity with omentoplasty. There was bile leak to the drain which stopped over one month. The patient received anthelminthic medication for 3 months.
包虫病由一种绦虫引起，这种绦虫寄生于终宿主（狗或其他食肉动物）的肠道内。人类是偶然的中间宿主，通过摄入被寄生虫卵污染的蔬菜或水而感染。一名37岁男性因右侧腹痛2个月前来就诊。腹部检查发现右侧有一巨大肿块，从右肋下区域延伸至右髂窝。CT扫描显示肝脏右叶有两个囊性病变，第三个病变延伸至盆腔。手术中抽出了10升胆汁样液体，切除了囊肿，并在囊肿腔内放置引流管并行网膜成形术。有胆汁漏入引流管，1个月后漏液停止。患者接受了3个月的驱虫药物治疗。
