Gastroenterology, Hospital Nacional Edgardo Rebagliati Martins, Peru.
Rev Esp Enferm Dig. 2021 Aug;113(8):621. doi: 10.17235/reed.2020.7685/2020.
Hydatid disease or echinococcosis is a systemic zoonosis caused by Echinococcus granulosus larvae. We report the case of a 63 year-old Peruvian female patient who presented with diffuse abdominal pain and jaundice. An abdominal computed tomography (CT) scan was performed that showed a large hepatic hydatid cyst (6 x 6 cm) in segment IV with an apparent communication with the biliary duct. Laboratory results showed hemoglobin 13.2 g/dl, white blood cell (WBC) count 10,600 cell/mm3, normal serum amylase and lipase, total bilirubin 7,5 mg/dl, direct bilirubin 6,2 mg/dl and alkaline phosphatase 234 UI/l. Magnetic resonance cholangiopancreatography (MRCP) showed the same findings of the CT scan plus dilation of the biliary duct.
包虫病又称棘球蚴病，是一种由细粒棘球绦虫幼虫引起的全身性动物源性传染病。我们报告了一例 63 岁秘鲁女性患者，其表现为弥漫性腹痛和黄疸。进行了腹部计算机断层扫描（CT），显示第四段有一个大的肝包虫囊肿（6x6 厘米），与胆管明显相通。实验室结果显示血红蛋白 13.2 g/dl，白细胞（WBC）计数 10600 个/毫米 3 ，血清淀粉酶和脂肪酶正常，总胆红素 7.5 mg/dl，直接胆红素 6.2 mg/dl，碱性磷酸酶 234 UI/l。磁共振胰胆管造影（MRCP）显示与 CT 扫描相同的发现，胆管扩张。
