Basit Ghulam Yahya, Muraveji Qais, Nazari Fareed Ahmad
Kabul University of Medical Science, Ali Abad Teaching Hospital, Kabul, Afghanistan.
Ataturk National Children Hospital, Kabul, Afghanistan.
Int J Surg Case Rep. 2021 Mar;80:105602. doi: 10.1016/j.ijscr.2021.01.096. Epub 2021 Jan 30.
Hydatid cyst is a parasitic disease caused by echinococcus granoulosis. It is endemic in Mediterranean areas, south America, north Africa and Australia. The disease is most common in the liver and then in lung, the chest wall involvement by hydatid disease is a very rare condition.
We present a case of chest wall mass in a 65-years old man, who intra operatively diagnosed as primary hydatid cyst. Cystectomy done and patient followed up for 2 months.
The diagnosis of echinococcus infection mainly depends on the clinical history of the patient, serologic tests, and diagnostic radiological findings. Operative procedures for chest wall hydatid disease are cystectomy, cystotomy, evacuation, and chest wall resection.
Chest wall hydatid disease should be considered in the differential diagnosis of chest wall masses even in a patient who has not been operated for hydatid disease.
包虫囊肿是由细粒棘球绦虫引起的一种寄生虫病。在地中海地区、南美洲、北非和澳大利亚为地方性流行。该病最常见于肝脏,其次是肺,胸壁受累于包虫病是一种非常罕见的情况。
我们报告一例65岁男性胸壁肿块病例,术中诊断为原发性包虫囊肿。行囊肿切除术,对患者随访2个月。
棘球绦虫感染的诊断主要取决于患者的临床病史、血清学检查和诊断性影像学检查结果。胸壁包虫病的手术方法有囊肿切除术、囊肿切开术、囊肿内容物清除术和胸壁切除术。
即使是未接受过包虫病手术的患者,在胸壁肿块的鉴别诊断中也应考虑胸壁包虫病。