Tatar Ozan Can, Şimşek Turgay, Güler Sertaç Ata, Cantürk Nuh Zafer
Department of General Surgery, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Iran J Parasitol. 2022 Apr-Jun;17(2):277-281. doi: 10.18502/ijpa.v17i2.9546.
Hydatid disease (HD) is a zoonotic disease, which typically affects the liver and the lungs. Primary retroperitoneal localization of the disease is infrequent. The most common symptom is abdominal pain; however, the clinical features of HD may be generally dependent on the location of the cyst. A 53-year-old female patient presented to Kocaeli University General Surgery Clinic, Turkey in September 2019 with complaints of flank pain, constipation and vomiting. The MRI revealed cystic lesions in the pancreas and psoas muscle. Both cysts were excised totally during laparotomy. Histopathology reports showed that the lesion in psoas muscle was hydatid cyst whereas the lesion in pancreas was pancreatic pseudocyst. Postoperative period was uneventful and the patient was discharged with albendazole treatment. No recurrence occurred during follow-up period. Atypical localization for hydatid disease is a diagnostic dilemma for surgeons, especially in endemic countries. Hydatid disease should always be considered in the differential diagnosis of retroperitoneal lesions, inadequate management can lead to complications and fatalities. Surgery combined with antiparasitic therapy, may be an option in the presence of obstruction of gastrointestinal and/or urinary tract.
包虫病（HD）是一种人畜共患疾病，通常累及肝脏和肺脏。该疾病原发性腹膜后定位并不常见。最常见的症状是腹痛；然而，包虫病的临床特征通常可能取决于囊肿的位置。一名53岁女性患者于2019年9月因胁腹痛、便秘和呕吐就诊于土耳其科贾埃利大学普通外科诊所。磁共振成像（MRI）显示胰腺和腰大肌有囊性病变。在剖腹手术期间将两个囊肿都完全切除。组织病理学报告显示腰大肌中的病变为包虫囊肿，而胰腺中的病变为胰腺假性囊肿。术后恢复顺利，患者接受阿苯达唑治疗后出院。随访期间未发生复发。包虫病的非典型定位对外科医生来说是一个诊断难题，尤其是在流行国家。在腹膜后病变的鉴别诊断中应始终考虑包虫病，处理不当可导致并发症和死亡。在存在胃肠道和/或尿路梗阻的情况下，手术联合抗寄生虫治疗可能是一种选择。
