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胸腔内破裂的包虫囊肿导致张力性血气胸:病例报告

Tension Hydropneumothorax Caused by a Ruptured Hydatic Cyst in the Pleural Cavity: Case Report.

作者信息

Messaoud Ola, El Haddad Siham, Cherraqi Amine, Allali Nazik, Chat Latifa

机构信息

Mother and Child Hospital IBN SINA, Rabat, Morocco.

出版信息

Glob Pediatr Health. 2023 Mar 20;10:2333794X231156044. doi: 10.1177/2333794X231156044. eCollection 2023.

Abstract

Hydatid disease is a zoonosis caused by a larva of the tapeworm Echinococcus. All organs can be involved, but it is frequently located in liver for adults and lung for children. The clinical features are nonspecific. Imaging findings has an important place in the diagnosis and the follow-up. Rupture is the most common complication of a hydatic cyst and has a variety of imaging findings depending on the ruptured layer, the amount of air within the cyst and the type rupture. We report the case of a 10-year-old boy presenting shortness of breath and fever among other symptoms revealing by chest X-ray and thoracic CT scan, a lung ruptured hydatic cyst to the pleural cavity causing a tension hydro-pneumothorax and a superadded infection.

摘要

包虫病是一种由绦虫细粒棘球绦虫的幼虫引起的人畜共患病。所有器官均可受累,但在成人中常位于肝脏,在儿童中常位于肺部。临床特征不具有特异性。影像学检查结果在诊断和随访中具有重要地位。破裂是包虫囊肿最常见的并发症,根据破裂的层面、囊内空气量和破裂类型,有多种影像学表现。我们报告一例10岁男孩的病例,该男孩出现呼吸急促和发热等症状,胸部X线和胸部CT扫描显示为肺包虫囊肿破裂至胸腔,导致张力性液气胸并伴有继发感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5b1/10031588/bd8b0f717a56/10.1177_2333794X231156044-fig1.jpg

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