Slavu Iulian M, Gheorghita Valeriu, Macovei Oprescu Anca Monica, Filipoiu Florin, Munteanu Octavian, Tulin Raluca, Dogaru Iulian A, Ursuț Bogdan M, Tulin Adrian
Anatomy, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.
Infectious Disease, Agrippa Ionescu Emergency Clinical Hospital, Bucharest, ROU.
Cureus. 2024 Feb 8;16(2):e53842. doi: 10.7759/cureus.53842. eCollection 2024 Feb.
Hydatid cysts are caused by accidental egg ingestion of the parasite. A 24-year-old female was admitted to our hospital for chronic left lumbar pain. Computed tomography (CT) and abdominal ultrasonography identified an 8/12 cm retroperitoneal cyst. The CT results coupled with enzyme-linked immunosorbent assay tests (positive IgG for ) confirmed that the tumor was a hydatid cyst. Treatment consisted of preoperative chemotherapy with albendazole, intraoperative parasite inactivation, laparoscopic partial cystectomy, and drainage. The drain was removed after three days. Chemotherapy was maintained for two years after surgery. No relapse was observed at the six-month reevaluation. In this article, the diagnostic and therapeutic options and resources are discussed and compared with the published literature.
包虫囊肿是由意外摄入该寄生虫的虫卵引起的。一名24岁女性因慢性左腰痛入院。计算机断层扫描（CT）和腹部超声检查发现一个8/12厘米的腹膜后囊肿。CT结果结合酶联免疫吸附试验（IgG阳性）证实该肿瘤为包虫囊肿。治疗包括术前用阿苯达唑化疗、术中使寄生虫失活、腹腔镜下部分囊肿切除术和引流。三天后拔除引流管。术后化疗维持两年。六个月的复查未观察到复发。本文讨论了诊断和治疗选择及资源，并与已发表的文献进行了比较。
