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肝包虫囊肿破入胆囊及右肝管:一例报告

Liver hydatid cyst rupture into gallbladder and right hepatic duct: A case report.

作者信息

Fahmi Mohammad Samim, Farda Wais, Sharif Zabihullah, Jamal Rana Sarhadi

机构信息

Chief General Surgery Department, General Surgery Department, Cure Hospital, Darulaman Road, Kabul, Afghanistan.

Consultant Surgeon and Associate Clinical Professor, General Surgery Department, Isteqlal Hospital, Alaudin Square, Darulaman Road, Kabul, Afghanistan.

出版信息

Int J Surg Case Rep. 2024 Oct;123:110305. doi: 10.1016/j.ijscr.2024.110305. Epub 2024 Sep 18.

DOI:10.1016/j.ijscr.2024.110305
PMID:39303486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11424781/
Abstract

INTRODUCTION AND IMPORTANCE

Concomitant rupture into the gallbladder and biliary tract is a very rare complication of liver hydatid cyst.

PRESENTATION OF CASE

We present the case of a young woman with rupture of liver hydatid cyst into gallbladder and right hepatic duct which was presented with abdominal pain and jaundice.

CLINICAL DISCUSSION

While fistulization to the gallbladder is a rare complication of liver hydatid cyst, concomitant rupture of liver hydatid cyst into the gallbladder and biliary tract is very rare. The principle treatment of this condition is surgery with adjuvant anthelmintic therapy.

CONCLUSION

Rupture into gallbladder and biliary tract is a rare complication of liver hydatid cyst, where abdominal pain is the most common symptom and surgery is the mainstay of treatment.

摘要

引言与重要性

肝包虫囊肿同时破入胆囊和胆道是一种非常罕见的并发症。

病例介绍

我们报告一例年轻女性病例,其肝包虫囊肿破入胆囊和右肝管,表现为腹痛和黄疸。

临床讨论

虽然肝包虫囊肿瘘入胆囊是一种罕见的并发症,但肝包虫囊肿同时破入胆囊和胆道则极为罕见。这种情况的主要治疗方法是手术并辅以驱虫治疗。

结论

破入胆囊和胆道是肝包虫囊肿的一种罕见并发症,其中腹痛是最常见症状,手术是主要治疗手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e97/11424781/d2c5237d8a14/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e97/11424781/88f13b134e23/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e97/11424781/d2c5237d8a14/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e97/11424781/88f13b134e23/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e97/11424781/d2c5237d8a14/gr2.jpg

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本文引用的文献

1
Hydatid Disease of the Liver.肝脏包虫病
Visc Med. 2023 Oct;39(5):112-120. doi: 10.1159/000533807. Epub 2023 Sep 25.
2
The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2023 指南:更新共识外科病例报告(SCARE)指南。
Int J Surg. 2023 May 1;109(5):1136-1140. doi: 10.1097/JS9.0000000000000373.
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An unusual localization of echinococcosis: Gallbladder hydatid cyst.棘球蚴病的一种罕见定位:胆囊包虫囊肿。
IDCases. 2022 Feb 18;27:e01455. doi: 10.1016/j.idcr.2022.e01455. eCollection 2022.
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Hepatic Hydatid Cyst With Cystobiliary Communication and Cystoduodenal Fistula.伴有胆囊胆管瘘和囊肿十二指肠瘘的肝包虫囊肿
Cureus. 2021 Aug 26;13(8):e17473. doi: 10.7759/cureus.17473. eCollection 2021 Aug.
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Rupture of Hydatid Cyst in the Gallbladder Leading to Acute Cholangitis.胆囊包虫囊肿破裂导致急性胆管炎
Case Rep Infect Dis. 2021 Jul 7;2021:9858658. doi: 10.1155/2021/9858658. eCollection 2021.
6
Fistulization between liver hydatid cyst and gallbladder. A case report and review of the literature.肝包虫囊肿与胆囊之间的瘘管形成。病例报告及文献复习。
Ann Ital Chir. 2020 May 25;9:S2239253X20029503.
7
Cholecysto-Hydatid Cyst Fistula: A Rare Cause of Cholangitis.胆囊-包虫囊肿瘘管:胆管炎的罕见病因。
Am J Case Rep. 2020 Jun 17;21:e921914. doi: 10.12659/AJCR.921914.
8
Gallbladder Hydatid Cyst: A Review on Clinical Features, Investigations and Current Management.胆囊包虫囊肿:临床特征、检查及当前治疗方法综述
Clin Exp Gastroenterol. 2020 Apr 2;13:87-97. doi: 10.2147/CEG.S243344. eCollection 2020.
9
Concomitant Rupture of Hydatid Cyst of Liver in Hepatic Duct and Gallbladder: Case Report.肝内胆管及胆囊内包虫囊肿伴发破裂:病例报告
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10
Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis.人类肝包虫病不同手术方式的临床和血清学结果
Rev Soc Bras Med Trop. 2015 Sep-Oct;48(5):587-93. doi: 10.1590/0037-8682-0223-2015.