原发性包虫囊肿的罕见部位：一项病例系列研究。
The unusual location of primary hydatid cyst: A case series study.
作者信息
Qaradaghy Seerwan Hama Shareef, Ismael Diyaree Nihad, Ameen Shorsh Hama Hussein, Mahmood Kawa Abdula, Aghaways Ismael Hama Amin, Shakor Fadhluddin Nasruddin, Abdullah Zana Othman, Ibrahim Kawa M, Omer Mohammed Amin Ali, Mohammed Sangar Abdullah, Mohammed Aram Ahmed, Rasheed Safeen Hama
机构信息
Department of Surgery, College of Medicine, University of Sulaimani, Sulaimaniyah, Iraq.
Department of Surgery, Sulaimani Teaching Hospital, Sulaimani Directorate of Health, Sulaimaniyah, Iraq.
出版信息
Open Med (Wars). 2024 Oct 18;19(1):20241030. doi: 10.1515/med-2024-1030. eCollection 2024.
BACKGROUND
Cystic echinococcosis mainly affects the liver and lungs, in which the larvae from the microvascular wall in the liver pass to the lungs and then to the blood circulation and settle in any tissue or organ.
OBJECTIVES
The objective of this study was to report the unusual location of hydatid cysts in infected patients in Sulaimaniyah City, Iraq.
PATIENTS AND METHODS
This retrospective case series study enrolled 13 patients. They underwent a surgical operation to excise their cyst after confirmed diagnosis with blood investigations, electrocardiogram, chest X-ray, computed tomography scan, and magnetic resonance imaging (when needed). After the operation, the cyst was confirmed with histopathological examination, and patients were advised to take an Albendazole tablet.
RESULTS
Most patients were females from rural areas, with a mean age of 38.93 ± 14.4 years. Patients presented with cysts on the skin of the anterior abdominal wall, gluteal region, mesenteric area, pericardium, tibia bone meta diaphysis, right inguinal region, right thigh, skin of the anterior neck, spleen, left suprarenal gland, right breast, and the iliopsoas muscle.
CONCLUSIONS
The hydatid cyst can affect any body part with no site immune and often produces nonspecific symptoms.
背景
囊型棘球蚴病主要影响肝脏和肺，肝脏中来自微血管壁的幼虫会转移至肺，然后进入血液循环并在任何组织或器官中定居。
目的
本研究的目的是报告伊拉克苏莱曼尼亚市感染患者中包虫囊肿的异常位置。
患者与方法
本回顾性病例系列研究纳入了13例患者。在通过血液检查、心电图、胸部X线、计算机断层扫描以及必要时的磁共振成像确诊后，他们接受了手术切除囊肿。术后，通过组织病理学检查确认囊肿，并建议患者服用阿苯达唑片。
结果
大多数患者为来自农村地区的女性，平均年龄为38.93±14.4岁。患者的囊肿出现在前腹壁皮肤、臀区、肠系膜区域、心包、胫骨骨干骺端、右腹股沟区、右大腿、前颈部皮肤、脾脏、左肾上腺、右乳房以及髂腰肌。
结论
包虫囊肿可累及身体的任何部位，不存在部位免疫性，且常产生非特异性症状。
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