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术前胸部清晰的腹腔镜卵巢打孔术后出现肺包虫囊肿:一例新病例报告。

Pulmonary hydatid cyst emergence post laparoscopic ovarian drilling in a clear preoperative chest: A novel case report.

作者信息

Hashim Hashim Talib, Alhatemi Ahmed Qasim Mohammed, Al-Obaidi Ahmed Dheyaa, Al-Fatlawi Nabeel, Almusawi Mustafa, Al-Ghuraibawi Mohammedbaqer Ali, Al-Obiade Reem, Sulaiman Fatimah Abdullah, Al-Obaidi Mustafa Najah, Al-Awad Abdullah

机构信息

Research Department, University of Warith Al-Anbiyaa, College of Medicine, Karbala, Iraq.

Internal Medicine Department, Al-Nassiryah Teaching Hospital, Thi Qar, Iraq.

出版信息

Radiol Case Rep. 2024 Sep 27;19(12):6542-6546. doi: 10.1016/j.radcr.2024.09.057. eCollection 2024 Dec.

Abstract

Echinococcus granulosus is the parasite that causes hydatid disease. The liver is the most often affected organ, followed by the lungs and other organs. We present the case of a 24-year-old woman who had no notable medical history prior to the presentation of a persistent cough and mild chest discomfort 3 weeks after laparoscopic ovarian drilling surgery. There were upper lobe opacities on the right side of the chest X-ray. Serology was used to confirm the diagnosis of a hydatid cyst, with computed tomography (CT) providing additional supporting evidence. This case demonstrated that, especially in endemic areas, patients presenting with atypical respiratory symptoms should have rare infectious etiologies taken into consideration during the postoperative period. After the cyst was successfully surgically removed, the patient received albendazole for antiparasitic treatment. She experienced an uneventful recovery and exhibited no clinical symptoms at follow-up.

摘要

细粒棘球绦虫是引起包虫病的寄生虫。肝脏是最常受累的器官,其次是肺和其他器官。我们报告一例24岁女性病例,该患者在腹腔镜卵巢打孔术后3周出现持续咳嗽和轻度胸部不适,在此之前无明显病史。胸部X线显示右侧上叶有阴影。血清学检查用于确诊包虫囊肿,计算机断层扫描(CT)提供了额外的支持证据。该病例表明,特别是在流行地区,出现非典型呼吸道症状的患者在术后应考虑罕见的感染病因。囊肿成功手术切除后,患者接受阿苯达唑进行抗寄生虫治疗。她恢复顺利,随访时无临床症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d54a/11465097/9840eb87b712/gr1.jpg

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