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腰大肌包虫囊肿:过去五年的见解

Hydatid Cysts of the Psoas Muscle: Insights from the Past Five Years.

作者信息

Ciobotaru Octavian Catalin, Duca Oana-Monica, Ciobotaru Oana Roxana, Stamate Elena, Piraianu Alin Ionut, Dumitrascu Adrian George, Constantin Georgiana Bianca, Matei Madalina Nicoleta, Voinescu Doina Carina, Luchian Stefan-Alexandru

机构信息

Department of Clinical Surgical, Faculty of Medicine and Pharmacy, "Dunarea de Jos" University of Galati, 35, Al. I. Cuza Street, 800216 Galati, Romania.

Railway Hospital Galati, 800223 Galati, Romania.

出版信息

Life (Basel). 2024 Oct 18;14(10):1331. doi: 10.3390/life14101331.

Abstract

Echinococcosis represents a major public health issue and continues to be endemic in various regions around the world. Hydatid cysts are commonly located in the liver (primary site), followed by the lungs (secondary site). However, they are also found in less typical organs such as the spleen, kidneys, peritoneum, retroperitoneum, pancreas, gallbladder, and various other organs, as well as in striate muscles. Hydatid cysts involving the psoas muscle are rare, and in the past five years, only a few articles have addressed this condition due to its low incidence. Symptoms can be quite vague, and serological testing might return negative, making imaging studies crucial for an accurate diagnosis. Treatment options involve surgery alongside antiparasitic agents. Despite having a low mortality rate, the recurrence of hydatid disease remains high. This paper aims to provide new clinical data through our case presentation, while also offering a review of the cases of hydatid cysts involving the psoas muscle that have been published over the past five years.

摘要

包虫病是一个重大的公共卫生问题,在世界各地区仍然流行。包虫囊肿通常位于肝脏(主要部位),其次是肺(次要部位)。然而,它们也可见于不太典型的器官,如脾脏、肾脏、腹膜、腹膜后、胰腺、胆囊和各种其他器官,以及横纹肌。累及腰大肌的包虫囊肿很少见,在过去五年中,由于其发病率低,仅有少数文章论述了这种情况。症状可能相当模糊,血清学检测可能呈阴性,因此影像学检查对准确诊断至关重要。治疗选择包括手术和抗寄生虫药物。尽管死亡率较低,但包虫病的复发率仍然很高。本文旨在通过我们的病例介绍提供新的临床数据,同时对过去五年发表的累及腰大肌的包虫囊肿病例进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9984/11509361/0afd787881e6/life-14-01331-g001.jpg

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