Chirurgia (Bucur). 2021 Aug;116(4):492-502. doi: 10.21614/chirurgia.116.4.492.
Hydatid disease is a parasitic disease caused by and is commonly met in clinical practice. The most common location for hydatic cysts is the liver, while the lung is the second organ in terms of localization frequency. Case report: We present the case of a 40-year-old patient with pulmonary hydatid cysts (two hydatid cysts located in the upper and lower pulmonary left lobes), and multiple hepatic hydatid cysts (ten cysts located in both hepatic lobes). Initially, the patient underwent thoracic surgery and was subjected to atypical lung resection of the upper and lower left pulmonary lobes. The patient underwent surgical treatment of the hepatic hydatid cysts 6 months after the thoracic surgery. The patient underwent multiple partial cystectomies, cholecystectomy, Kehr drainage with two hepatic hydatid cysts showing biliary fistulas. The postoperative evolution was favorable with patient discharge 10 days following surgery. Although the hepatic hydatid cyst is a seemingly benign disease, there are complex cases of disseminated echinococcosis in clinical practice that may require complex treatment. Surgical treatment remains the best therapeutic option in these cases. Thus, for these patients, a careful postoperative follow-up is required to detect recurrence of hydatid disease.
包虫病是一种寄生虫病，在临床上较为常见。包虫囊肿最常见的部位是肝脏，其次是肺部。病例报告：我们报告了一例 40 岁患者患有肺包虫囊肿（两个包虫囊肿位于左肺上下叶）和多个肝包虫囊肿（两个肝叶各有十个囊肿）。最初，患者接受了胸部手术，并进行了左上肺和下肺的非典型肺叶切除术。胸部手术后 6 个月，对患者的肝包虫囊肿进行了手术治疗。对两个有胆瘘的肝包虫囊肿进行了多次部分囊肿切除术、胆囊切除术和 Kehr 引流术。术后恢复良好，患者在手术后 10 天出院。虽然肝包虫囊肿是一种看似良性的疾病，但在临床上也有复杂的播散性包虫病病例，可能需要复杂的治疗。在这些情况下，手术治疗仍然是最佳的治疗选择。因此，对于这些患者，需要仔细的术后随访以检测包虫病的复发。
