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原发性脾包虫囊肿产后自发性破裂:一例报告

Postpartum Spontaneous Rupture of a Primary Splenic Hydatid Cyst: A Case Report.

作者信息

Ashraf Aabid, Mittal Ritika

机构信息

Department of General Surgery, Gulf Asian Medical Center, Al Jubail, Saudi Arabia.

MM Medical College and Hospital, Solan, India.

出版信息

Iran J Parasitol. 2024 Apr-Jun;19(2):260-266. doi: 10.18502/ijpa.v19i2.15862.

DOI:10.18502/ijpa.v19i2.15862
PMID:39011530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11246208/
Abstract

Hydatid disease is endemic in some regions of the world. Even in endemic regions, splenic hydatid cysts are rare, especially in pregnancy. The most serious presentation is intra peritoneal rupture, which is a surgical emergency. Exploration with splenectomy is the favoured management. We present a case of splenic hydatid cyst, detected late in pregnancy, with intraperitoneal rupture in the postpartum period. Cystic lesions located anywhere in the body in endemic regions could be hydatid cysts. Prompt treatment should be planned immediately on detection in order to prevent potentially serious complications like rupture.

摘要

包虫病在世界上的一些地区呈地方性流行。即使在地方性流行地区,脾包虫囊肿也很罕见,尤其是在妊娠期。最严重的表现是腹腔内破裂,这是一种外科急症。行脾切除术的探查是首选的治疗方法。我们报告一例在妊娠晚期发现的脾包虫囊肿,在产后发生腹腔内破裂的病例。在地方性流行地区,身体任何部位的囊性病变都可能是包虫囊肿。一旦发现应立即制定及时的治疗方案,以预防诸如破裂等潜在的严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/9949e87208cc/IJPA-19-260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/9856a540791d/IJPA-19-260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/9c6da4247127/IJPA-19-260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/8b56bbe49a6c/IJPA-19-260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/9949e87208cc/IJPA-19-260-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/9856a540791d/IJPA-19-260-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/9c6da4247127/IJPA-19-260-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/8b56bbe49a6c/IJPA-19-260-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5e/11246208/9949e87208cc/IJPA-19-260-g004.jpg

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1
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本文引用的文献

1
Hydatid Disease: A Pictorial Review of Uncommon Locations.包虫病:罕见部位的影像学综述。
Iran J Med Sci. 2023 Mar;48(2):118-129. doi: 10.30476/IJMS.2022.93123.2442.
2
Clinical and Molecular Evaluation of a Case of Giant Primary Splenic Hydatid Cyst: A Case Report.巨大原发性脾包虫囊肿一例的临床与分子评估:病例报告
Iran J Parasitol. 2016 Oct-Dec;11(4):585-590.
3
Ruptured Hydatid Cysts into the Peritoneum: A Case Series.破裂的包虫囊肿进入腹膜:病例系列
Eur J Trauma Emerg Surg. 2010 Aug;36(4):375-9. doi: 10.1007/s00068-009-9056-6. Epub 2009 Sep 23.
4
Spontaneous giant splenic hydatid cyst rupture causing fatal anaphylactic shock: a case report and brief literature review.自发性巨大脾包虫囊肿破裂致致命性过敏性休克:一例报告并文献简要综述
Turk J Gastroenterol. 2014 Feb;25(1):88-91. doi: 10.5152/tjg.2014.3521.
5
Management of a large splenic cyst in pregnancy--a case report.妊娠期巨大脾囊肿的管理——一例报告
Ginekol Pol. 2012 Nov;83(11):862-4.
6
Hydatid cyst of spleen: a diagnostic challenge.脾包虫囊肿:一项诊断挑战。
N Am J Med Sci. 2013 Jan;5(1):10-20. doi: 10.4103/1947-2714.106184.
7
Selecting a surgical modality to treat a splenic hydatid cyst: total splenectomy or spleen-saving surgery?选择手术方式治疗脾包虫囊肿:全脾切除术还是保留脾脏手术?
J Gastrointest Surg. 2012 Jun;16(6):1189-93. doi: 10.1007/s11605-012-1837-2. Epub 2012 Feb 15.
8
Management of abdomen hydatidosis after rupture of a hydatid splenic cyst: a case report.脾包虫囊肿破裂后腹部包虫病的治疗:一例报告
Cases J. 2009 Sep 2;2:8416. doi: 10.4076/1757-1626-2-8416.
9
Splenic hydatid cyst, a rare location of extrahepatic echinococcosis: Report of six cases.脾包虫囊肿,肝外棘球蚴病的罕见部位:6例报告
Eur J Intern Med. 2008 Nov;19(7):e51-3. doi: 10.1016/j.ejim.2008.02.003. Epub 2008 Apr 3.
10
Peritoneal hydatid cyst perforation: a rare cause of emergency abdominal surgeries.腹膜包虫囊肿穿孔:急诊腹部手术的罕见原因。
Adv Ther. 2008 Sep;25(9):943-50. doi: 10.1007/s12325-008-0088-9.