van Gulik T M, Lygidakis N J, van der Heyde M N, de Blok K, de Geus A
Department of Surgery, University of Amsterdam, The Netherlands.
Neth J Surg. 1987 Dec;39(6):194-6.
A case is reported of a young man of Moroccan origin, admitted with fever, aerobilia and an epigastric mass. Laparotomy revealed a suppurated hydatid cyst extending from the left lobe of the liver, which had ruptured into the left hepatic duct and intraperitoneally, into the lesser sac. A left hepatic lobectomy was performed. Gas producing micro-organisms were cultured from the cyst contents whereas no viable scolices were demonstrated. Medical therapy with mebendazole was instituted postoperatively. Six months later, the patient underwent subtotal pancreaticoduodenectomy because of an obstructive, lymphoblastic non-Hodgkin lymphoma in the ampullary region. One year after the initial operation, there were no signs of recurrence of the hydatid disease.
报告了一例祖籍摩洛哥的青年男性病例，该患者因发热、气肿性胆囊炎和上腹部肿块入院。剖腹探查发现一个化脓性包虫囊肿，从肝左叶延伸，已破裂进入左肝管，并经腹腔进入小网膜囊。实施了左肝叶切除术。从囊肿内容物中培养出产气微生物，但未发现存活的头节。术后开始用甲苯达唑进行药物治疗。六个月后，患者因壶腹区域的梗阻性淋巴细胞性非霍奇金淋巴瘤接受了胰十二指肠次全切除术。初次手术后一年，未见包虫病复发迹象。
