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COVID-19大流行期间肝包虫囊肿破裂伴呼吸窘迫

Liver Hydatid Cyst Rupture with Respiratory Distress During COVID-19 Pandemic.

作者信息

Moreno Rojas Julián, Vas Daniel

机构信息

Hospital Clínic de Barcelona, ES.

出版信息

J Belg Soc Radiol. 2022 May 6;106(1):41. doi: 10.5334/jbsr.2663. eCollection 2022.

DOI:10.5334/jbsr.2663
PMID:35600757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9075046/
Abstract

We present a case of a young male patient who was brought to the emergency room with abdominal pain, fever, dyspnea and hypoxemia, and was initially oriented as an acute COVID-19 pneumonia. A thoracoabdominal computed tomography (CT) was performed to rule out pneumonia and the abdominal extension of the study revealed a hepatic hydatid cyst with rupture into the abdominal cavity with respiratory distress secondary to an anaphylactic reaction that, if left untreated, may lead to a fatal outcome. An urgent laparotomy was performed with cyst resection. The follow-up and complications are briefly described.

摘要

我们报告一例年轻男性患者,该患者因腹痛、发热、呼吸困难和低氧血症被送往急诊室,最初被诊断为急性COVID-19肺炎。进行了胸腹计算机断层扫描(CT)以排除肺炎,该检查的腹部部分显示一个肝包虫囊肿破裂进入腹腔,继发过敏反应导致呼吸窘迫,若不治疗可能导致致命后果。紧急进行了剖腹手术并切除囊肿。简要描述了随访情况及并发症。

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Ann Emerg Med. 2020 Oct;76(4):405-412. doi: 10.1016/j.annemergmed.2020.05.022. Epub 2020 May 21.
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Review of the 2019 novel coronavirus (SARS-CoV-2) based on current evidence.基于现有证据对 2019 年新型冠状病毒(SARS-CoV-2)的回顾。
Int J Antimicrob Agents. 2020 Jun;55(6):105948. doi: 10.1016/j.ijantimicag.2020.105948. Epub 2020 Mar 19.
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Clinical characteristics of 140 patients infected with SARS-CoV-2 in Wuhan, China.
中国武汉 140 名 SARS-CoV-2 感染患者的临床特征。
Allergy. 2020 Jul;75(7):1730-1741. doi: 10.1111/all.14238. Epub 2020 Feb 27.
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Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study.中国武汉 99 例 2019 年新型冠状病毒肺炎患者的流行病学和临床特征:描述性研究。
Lancet. 2020 Feb 15;395(10223):507-513. doi: 10.1016/S0140-6736(20)30211-7. Epub 2020 Jan 30.
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Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.中国武汉地区 2019 年新型冠状病毒感染患者的临床特征。
Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24.
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Liver abscess: diagnostic and management issues found in the low resource setting.肝脓肿:低资源环境下的诊断和治疗问题。
Br Med Bull. 2019 Dec 11;132(1):45-52. doi: 10.1093/bmb/ldz032.
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Liver hydatid cyst - cause of violent death. Case presentation.
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Abdom Radiol (NY). 2019 Mar;44(3):877-885. doi: 10.1007/s00261-018-1810-y.
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