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肝脏包虫囊肿侵犯下腔静脉。

Hydatid cyst of the liver invading the inferior vena cava.

作者信息

Laasri Khadija, Zhim Meriem, Naggar Amine, El Aoufir Omar, Laamrani Fatima Zahra, Jroundi Laila

机构信息

Department of Emergency Radiology, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco.

出版信息

Radiol Case Rep. 2023 Sep 28;18(12):4341-4344. doi: 10.1016/j.radcr.2023.09.007. eCollection 2023 Dec.

Abstract

Hydatid disease is a parasitic infestation due to the development of Echinococcus granulosus in the organism. This disease is particularly frequent in Morocco where echinococcosis is endemic. The liver is the most common organ to be affected by hydatidosis, and several complications have been described. Vascular complications secondary to hepatic echinococcosis such as fistulization or rupture of hydatid liver cysts to the inferior vena cava (IVC) are an extremely rare and life-threatening condition. This report aims to describe a case of invasion of the IVC by a hydatid cyst of the liver resulting in portal hypertension in a 60-year-old female patient. The diagnosis was established in the preoperative phase by a CT scan. IVC invasion remains an infrequent complication that should be routinely looked for in patients with hydatid disease of the liver, and few cases have been reported in the literature to date.

摘要

包虫病是由于细粒棘球绦虫在机体中发育而引起的一种寄生虫感染。这种疾病在摩洛哥尤为常见,那里棘球蚴病呈地方性流行。肝脏是受包虫病影响最常见的器官,并且已经描述了几种并发症。肝包虫病继发的血管并发症,如肝包虫囊肿向腔静脉瘘或破裂是一种极其罕见且危及生命的情况。本报告旨在描述一例60岁女性患者肝包虫囊肿侵犯腔静脉导致门静脉高压的病例。术前通过CT扫描确诊。腔静脉侵犯仍然是一种罕见的并发症,在肝包虫病患者中应常规检查,迄今为止文献中报道的病例很少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ec/10543176/24943c0cf7ce/gr1.jpg

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