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包虫囊肿的罕见表现:一例盆腔罕见部位包虫囊肿病例报告及当前文献综述

A Rare Presentation of Hydatid Cyst: A Case Report of Uncommon Localization in the Pelvic Region and a Review of Current Literature.

作者信息

Gurcan Mehmet, Ergul Rifat Burak, Degirmenci Enes, Dursun Murat, Kadıoğlu Ateş

机构信息

Urology, Istanbul University School of Medicine, Istanbul, TUR.

出版信息

Cureus. 2024 May 14;16(5):e60312. doi: 10.7759/cureus.60312. eCollection 2024 May.

Abstract

Hydatid cyst disease, caused by the tapeworm larval form, typically affects the liver, lungs, and genitourinary tract. This case report details an unusual manifestation of hydatid cysts in a 62-year-old male with a history of retrovesical hydatid cyst surgery. The patient presented with pain at the root of the penis, and subsequent imaging revealed cysts in the suprapubic, pubic bone, and left pectineus muscle regions. Despite the challenges posed by the COVID-19 pandemic, the patient underwent surgical excision in 2023. The discussion emphasizes the rarity of such localized cysts, diagnostic imaging techniques, and the necessity of surgical intervention. The postoperative period involved a course of albendazole. While rectovesical hydatid cysts are uncommon, this case underscores the importance of considering them in the differential diagnosis of masses, particularly in endemic regions. Surgical excision remains the primary treatment for symptomatic hydatid cysts.

摘要

包虫囊肿病由绦虫幼虫形态引起,通常影响肝脏、肺和泌尿生殖道。本病例报告详细介绍了一名62岁男性的包虫囊肿异常表现,该患者有膀胱后包虫囊肿手术史。患者出现阴茎根部疼痛,随后的影像学检查显示耻骨上、耻骨和左耻骨肌区域有囊肿。尽管受到2019冠状病毒病大流行带来的挑战,该患者仍于2023年接受了手术切除。讨论强调了这种局限性囊肿的罕见性、诊断成像技术以及手术干预的必要性。术后阶段采用了阿苯达唑疗程。虽然直肠膀胱包虫囊肿并不常见,但该病例强调了在肿块的鉴别诊断中考虑它们的重要性,特别是在流行地区。手术切除仍然是有症状的包虫囊肿的主要治疗方法。

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