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采用联合药物治疗和电视辅助胸腔镜手术(VATS)成功治疗原发性纵隔包虫病。

Primary mediastinal hydatidosis successfully treated with combined medical therapy and VATS (Video-assisted thoracoscopic surgery).

作者信息

Razok Almurtada, Ali Maisa Mohamed Bashir

机构信息

Department of Internal Medicine, Hamad Medical Corporation, P.O 3050, Doha, Qatar.

Department of Infectious Diseases, Hamad Medical Corporation, P.O 3050, Doha, Qatar.

出版信息

IDCases. 2020 Nov 16;23:e01008. doi: 10.1016/j.idcr.2020.e01008. eCollection 2021.

DOI:10.1016/j.idcr.2020.e01008
PMID:33294371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7695957/
Abstract

Mediastinal involvement of hydatidosis is rare even in endemic areas. Isolated mediastinal without lung or liver involvement is even less commonly reported. We present the case of a young gentleman who was diagnosed with primary mediastinal hydatidosis based on clinical, radiological and pathological criteria. He underwent successful resection of the lesion by VATS (Video-assisted thoracoscopic surgery) preceded by two weeks of medical treatment with albendazole and had an excellent outcome. To the best of our knowledge, this is the first reported case in the state of Qatar.

摘要

即使在流行地区,包虫病累及纵隔也很罕见。孤立性纵隔受累而无肺或肝受累的情况报道更少。我们报告一例年轻男性病例,根据临床、影像学和病理学标准诊断为原发性纵隔包虫病。在接受两周阿苯达唑药物治疗后,他通过电视辅助胸腔镜手术(VATS)成功切除病变,预后良好。据我们所知,这是卡塔尔首次报道的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/7695957/05b2f232e07e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/7695957/eee6f04aeded/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/7695957/05b2f232e07e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/7695957/eee6f04aeded/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d4/7695957/05b2f232e07e/gr2.jpg

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本文引用的文献

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Isolated hydatid cyst of the diaphragm, a case report.孤立性膈肌包虫囊肿一例报告
Int J Surg Case Rep. 2016;29:130-132. doi: 10.1016/j.ijscr.2016.10.071. Epub 2016 Nov 10.
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Mediastinal hydatid cyst: a case report.纵隔包虫囊肿:一例报告
J Med Case Rep. 2013 Oct 7;7:236. doi: 10.1186/1752-1947-7-236.
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Hydatid cyst in tail of pancreas.胰腺尾部的包虫囊肿。
BMJ Case Rep. 2011 Nov 1;2011:bcr0320114027. doi: 10.1136/bcr.03.2011.4027.
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Primary hydatid cysts of the mediastinum.纵隔原发性包虫囊肿
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