Schandiz Hossein, Nasser Salah Nm, Ekeberg Bente, Pedersen Mette K, Leegaard Truls M, Sauer Torill
Department of Pathology, Akershus University Hospital (Ahus), Akershus, Norway.
Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Campus Ahus, Oslo, Norway.
SAGE Open Med Case Rep. 2024 Oct 9;12:2050313X241287645. doi: 10.1177/2050313X241287645. eCollection 2024.
Cystic echinococcosis, although rare in Europe, presents a diagnostic challenge when encountered, especially in atypical locations such as the mesentery. This case report is significant because it highlights the unique presentation of mesenteric hydatid cysts, emphasizing the importance of considering uncommon etiologies in differential diagnosis, particularly in immigrant populations. The novelty of this case lies in its rarity and the diagnostic dilemma it posed, ultimately leading to successful management through prompt recognition and accurate diagnosis. A 33-year-old pregnant female from East Africa presented with intermittent abdominal pain during pregnancy. Imaging revealed a cystic mass adjacent to the mesentery, initially misdiagnosed as an ovarian cyst. Postpartum, she developed acute abdominal symptoms, leading to a revised diagnosis of a ruptured hydatid cyst. Antiparasitic treatment and surgical intervention were initiated, resulting in successful management. This case underscores the necessity of prompt recognition and accurate diagnosis of rare conditions such as mesenteric hydatid cysts, particularly in immigrant populations. A multidisciplinary approach is crucial for optimal patient care in such cases.
囊型包虫病在欧洲虽较为罕见，但一旦遇到，尤其是在肠系膜等非典型部位出现时，会带来诊断挑战。本病例报告具有重要意义，因为它突出了肠系膜包虫囊肿的独特表现，强调了在鉴别诊断中考虑罕见病因的重要性，特别是在移民人群中。该病例的新颖之处在于其罕见性以及所带来的诊断困境，最终通过及时识别和准确诊断实现了成功治疗。一名来自东非的33岁孕妇在孕期出现间歇性腹痛。影像学检查发现肠系膜附近有一个囊性肿块，最初被误诊为卵巢囊肿。产后，她出现急性腹部症状，导致包虫囊肿破裂的诊断被修正。随后开始了抗寄生虫治疗和手术干预，最终成功治愈。该病例强调了及时识别和准确诊断肠系膜包虫囊肿等罕见病症的必要性，特别是在移民人群中。对于此类病例，多学科方法对于实现最佳患者护理至关重要。
