Al-Jawad Mohammad, Sabbagh Layan, Khalifa Sada, Arian Sama, Ismail Ahmad, Moustafa Kadri Alhaj
University of Aleppo, Faculty of Medicine, Aleppo, Syria.
University of Aleppo, Faculty of Medicine, Aleppo, Syria.
Int J Surg Case Rep. 2024 Dec;125:110530. doi: 10.1016/j.ijscr.2024.110530. Epub 2024 Oct 28.
Cystic Echinococcosis (CE), caused by Echinococcus granulosus, primarily affects the liver and lungs, particularly in endemic regions. While commonly associated with gastrointestinal manifestations, CE can lead to severe complications that necessitate surgical intervention.
A 53-year-old female was referred due to a prolonged history of exertional dyspnea that recently worsened. Imaging studies indicated a large hydatid cyst in the right lobe of the liver and significant pleural effusion. Surgical management was conducted via thoracotomy, facilitating the excision of multiple cysts and drainage of the pleural fluid.
This case illustrates the potential for respiratory symptoms to emerge from hydatid cyst infections, which often present with digestive issues. Effective diagnostic techniques are crucial for identifying the cysts and assessing their impact on surrounding structures. The surgical intervention not only relieved the patient's symptoms but also mitigated the risk of further complications associated with untreated cysts.
The findings underscore the importance of recognizing atypical presentations of hepatic hydatid cysts. Timely surgical intervention was essential in managing the patient's condition, highlighting the critical role of prompt diagnosis and treatment in preventing serious complications.
由细粒棘球绦虫引起的囊型包虫病（CE）主要影响肝脏和肺部，在流行地区尤为常见。虽然通常与胃肠道表现相关，但CE可导致严重并发症，需要手术干预。
一名53岁女性因长期劳力性呼吸困难且近期加重前来就诊。影像学检查显示肝脏右叶有一个大的包虫囊肿和大量胸腔积液。通过开胸手术进行外科治疗，便于切除多个囊肿并引流胸腔积液。
该病例说明了包虫囊肿感染可能出现呼吸系统症状，而这些感染通常伴有消化问题。有效的诊断技术对于识别囊肿及其对周围结构的影响至关重要。手术干预不仅缓解了患者的症状，还降低了与未治疗囊肿相关的进一步并发症的风险。
这些发现强调了认识肝包虫囊肿非典型表现的重要性。及时的手术干预对于治疗患者病情至关重要，凸显了及时诊断和治疗在预防严重并发症方面的关键作用。
