Mani Salma, Joya Habib Ullah, Alansari Amani N, Youssef Sabrine Ben, Ksia Amine, Al-Zoubi Raed M
Pediatric Surgery Department, Fattouma Bourguiba University Hospital, Monastir 5000, Tunisia.
University of Monastir, Monastir 5000, Tunisia.
J Surg Case Rep. 2024 Aug 10;2024(8):rjae488. doi: 10.1093/jscr/rjae488. eCollection 2024 Aug.
Isolated primary diaphragmatic hydatid disease (HD) occurs in approximately 1% of adult cases. However, this unique presentation of a pediatric diaphragmatic cystic mass has not been previously described in the literature. This study reports a rare case of a 12-year-old girl who was diagnosed with a diaphragmatic hydatid cyst. Surgical exploration via subcostal incision revealed an isolated cyst, free from the thoracic and abdominal viscera. Cystotomy, removal of daughter cysts, and excision of the pericyst cavity were performed, followed by diaphragmatic repair. Histopathological examination confirmed the diagnosis. The postoperative course was uneventful, and the patient completed an 8-week mebendazole regimen with no recurrence at 3 months' follow-up. This paper recommends including HD in the differential diagnosis for pediatric patients presenting with diaphragmatic lesions, particularly in regions endemic for echinococcosis.
孤立性原发性膈包虫病（HD）约占成人病例的1%。然而，小儿膈部囊性肿块的这种独特表现此前尚未见诸文献报道。本研究报告了1例罕见的12岁女孩，她被诊断为膈包虫囊肿。经肋下切口进行手术探查发现一个孤立的囊肿，与胸腹腔脏器无粘连。进行了囊肿切开、子囊清除及包囊周围腔切除，随后进行了膈肌修补。组织病理学检查确诊。术后过程顺利，患者完成了为期8周的甲苯达唑疗程，在3个月的随访中无复发。本文建议，对于出现膈部病变的儿科患者，尤其是在棘球蚴病流行地区，应将HD纳入鉴别诊断。
