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继发性多发性腹腔包虫病作为原发性肾包虫病的推测后遗症:临床与组织病理学相关性

Secondary Multiple Intraabdominal Hydatidosis as Presumptive Sequelae of Primary Renal Echinococcosis: Clinical and Histopathologic Correlation.

作者信息

Sengul Demet, Aydin Ismail, Sengul Ilker, Kesicioglu Tugrul

机构信息

Pathology, Giresun University Faculty of Medicine, Giresun, TUR.

General Surgery, Giresun University Faculty of Medicine, Giresun, TUR.

出版信息

Cureus. 2021 Jan 28;13(1):e12968. doi: 10.7759/cureus.12968.

Abstract

To present an extraordinary and likely first case of secondary multiple intraabdominal hydatidosis, probably as a sequel to primary renal hydatid cyst surgery. A 34-year-old male who underwent a right nephrectomy four years ago for renal hydatidosis was admitted. His abdominopelvic computed tomography scan revealed the hypodense lesions adjacent to the anterior lobe of the liver, splenic hilus, right common iliac vein, and left paracolic area. He underwent the total surgical resection and the histopathologic evaluation revealed the hydatidosis (echinococcosis) and the medical therapy, Albendazole: 15 mg/kg/day, was administrated for three months. No recurrence has occurred after the clinical and radiologic follow-up. To the best of our knowledge, it is an extreme and first case of secondary multiple intraabdominal hydatidosis as a sequel to the primary renal echinococcosis surgery, in the English language literature. Providers should be aware of considering a primary focus as encountering multiple intraabdominal hydatidosis.

摘要

本文报告一例罕见且可能为首例的继发性多发性腹腔包虫病病例,可能是原发性肾包虫囊肿手术后的后遗症。一名34岁男性因肾包虫病于四年前接受了右肾切除术,现入院治疗。其腹盆腔计算机断层扫描显示,肝脏前叶、脾门、右髂总静脉和左结肠旁区附近有低密度病变。他接受了手术全切,组织病理学评估显示为包虫病(棘球蚴病),并给予阿苯达唑药物治疗,剂量为15mg/kg/天,持续三个月。经临床和影像学随访,未出现复发情况。据我们所知,这是英文文献中首例因原发性肾棘球蚴病手术导致继发性多发性腹腔包虫病的极端病例。临床医生在遇到多发性腹腔包虫病时应考虑到原发性病灶。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1835/7845745/a70b3776a623/cureus-0013-00000012968-i01.jpg

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