Chmielewski Jan, Probst Pascal, Muller Markus K, Antony Pia, Kovacevic Dragoljub
Department of Surgery, Cantonal Hospital Thurgau, 8501 Frauenfeld, Switzerland.
J Surg Case Rep. 2023 Aug 8;2023(8):rjad452. doi: 10.1093/jscr/rjad452. eCollection 2023 Aug.
In this paper, we describe the case of a 40-year-old patient with an expanding and symptomatic complex liver cyst. Despite comprehensive diagnostics, including labs, imaging and biopsy, a clear etiology could not be determined. As a result, a partial liver resection was performed. The histopathological examination revealed evidence of schistosomas. We postulate that the displacement of the portal fields created a pseudocyst and that the resultant ischemia was the root cause of the patient's discomfort. Postoperatively, the patient received an antihelmintic therapy with praziquantel with which she was able to fully recover.
在本文中，我们描述了一名40岁患有不断增大且有症状的复杂性肝囊肿患者的病例。尽管进行了全面的诊断，包括实验室检查、影像学检查和活检，但仍无法确定明确的病因。因此，实施了部分肝切除术。组织病理学检查发现了血吸虫的证据。我们推测门静脉区域的移位形成了一个假性囊肿，由此产生的局部缺血是患者不适的根本原因。术后，患者接受了吡喹酮抗蠕虫治疗，并得以完全康复。
