Liang Zhiru, Chen Weihong, Zhang Binbin, Chen Lina, Wang Jing, Xiao Jianjia, An Geer
Department of Hepatobiliary Surgery, Xilingol League Central Hospital, Xilin Hot, Inner Mongolia, P.R. China.
Department of Clinical Pharmacy, Anxi County Hospital, Quanzhou, Fujian, P.R. China.
J Int Med Res. 2025 Mar;53(3):3000605251325164. doi: 10.1177/03000605251325164. Epub 2025 Mar 13.
This article presents a case report of a rare instance of hepatic cystic echinococcosis (Type II). The patient is a young female who has resided in the Inner Mongolia region of China for an extended period and has a clear history of contact with dogs and sheep. She presented with recurrent upper abdominal pain accompanied by jaundice of skin and sclera for 2 months. Through comprehensive clinical history inquiry, physical examination, and imaging studies such as ultrasound and computed tomography, the diagnosis of hepatic cystic echinococcosis (Type II) was confirmed. The patient underwent a capsular excision, and the postoperative prognosis was good with no recurrence or implantation during short-term follow-up. This case report details the patient's clinical symptoms, signs, diagnostic process, and key points for differential diagnosis, emphasizing the crucial role of imaging studies in the diagnosis of hepatic cystic echinococcosis. Additionally, the treatment plan and postoperative follow-up for this case are discussed, aiming to provide a reference for clinical diagnosis and treatment of hepatic cystic echinococcosis.
本文报告了一例罕见的肝囊性棘球蚴病(II型)病例。患者为一名年轻女性,长期居住在中国内蒙古地区,有明确的与狗和羊接触史。她出现反复上腹部疼痛伴皮肤和巩膜黄疸2个月。通过全面的临床病史询问、体格检查以及超声和计算机断层扫描等影像学检查,确诊为肝囊性棘球蚴病(II型)。患者接受了囊肿切除术,术后预后良好,短期随访期间无复发或种植。本病例报告详细介绍了患者的临床症状、体征、诊断过程及鉴别诊断要点,强调了影像学检查在肝囊性棘球蚴病诊断中的关键作用。此外,还讨论了该病例的治疗方案及术后随访情况,旨在为肝囊性棘球蚴病的临床诊断和治疗提供参考。