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经微创入路治疗的孤立性盆腔原发性腹腔包虫病 1 例报告。

Solitary pelvic primary intraperitoneal hydatid managed with a minimal access approach: A case report.

机构信息

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.

Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Asian J Endosc Surg. 2021 Jul;14(3):561-564. doi: 10.1111/ases.12867. Epub 2020 Oct 16.

Abstract

Solitary primary pelvic intraperitoneal hydatid cysts are rare. We report the case of a 22-year-old women who presented with a dull ache in her lower abdomen for 2 years and increased urinary frequency over 3 months. Ultrasonography and CT indicated a solitary primary peritoneal pelvic hydatid cyst. Hydatid serology was positive. Perioperative albendazole was prescribed and laparoscopic cystectomy planned. Intraoperatively, dense adhesions to the omentum, urinary bladder, and left fallopian tube were taken down laparoscopically. A small Pfannenstiel incision was made to separate the bladder's left lateral edge and deliver the cyst externally. This report details our experience of managing this case and reviews pertinent literature.

摘要

单纯性盆腔腹腔内包虫囊肿较为罕见。我们报告了 1 例 22 岁女性患者,其下腹隐痛 2 年,3 个月来尿频加重。超声和 CT 提示单纯性原发性腹膜盆腔包虫囊肿。包虫病血清学阳性。予术前阿苯达唑治疗,计划行腹腔镜囊肿切除术。术中腹腔镜下分离大网膜、膀胱和左侧输卵管致密粘连。小的经耻骨联合上横切口切开,分离膀胱左侧边缘,将囊肿向外推出。本文详细介绍了我们处理该病例的经验,并复习了相关文献。

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