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病例报告:一名完全性内脏反位患者的巨大破裂脾包虫囊肿:诊断挑战与术中困难

Case Report: A giant ruptured splenic hydatic cyst in a patient with a complete situs inversus: Diagnostic challenge and intra-operative difficulties.

作者信息

Chaka Amina, Boujelbène Wael, Chaabouni Amin, Bahloul Mohamed Ali, Kardoun Nizar, Boujelben Salah

机构信息

General Surgery, Department-Habib Bourguiba Hospital, Universite de Sfax Faculte de Medecine de Sfax, Sfax, Sfax, Tunisia.

出版信息

F1000Res. 2025 Jun 2;13:1480. doi: 10.12688/f1000research.159480.2. eCollection 2024.

Abstract

The splenic localization of hydatid cysts is extremely rare. A 50-year-old obese female who consults with a painful and febrile syndrome of the right hypochondrium. Abdominal ultrasound and a CT scan computed tomography revealed a complete situs inversus, a mass of the right hypochondrium measuring 152 mm with membrane detachment, and infiltration of the surrounding fat, evoking a type II complicated splenic hydatic cyst. The patient was operated on in an emergency via midline laparotomy. Exploration revealed situs inversus, an angiant cyst of the spleen. Exposition of the splenic pedicle is difficult. The samples were then infected. Total splenectomy was performed. The postoperative period was unproblematic, and the patient was discharged with antibiotic and antiparasitic treatment and habitual vaccination.

摘要

包虫囊肿的脾脏定位极为罕见。一名50岁肥胖女性,因右季肋部疼痛发热综合征前来就诊。腹部超声和计算机断层扫描(CT)显示完全性内脏反位,右季肋部有一个大小为152毫米的肿块,伴有包膜分离,周围脂肪浸润,提示为II型复杂性脾脏包虫囊肿。患者通过中线剖腹术进行了急诊手术。探查发现内脏反位,脾脏有一个巨大囊肿。脾蒂暴露困难。随后样本被感染。进行了全脾切除术。术后恢复顺利,患者出院时接受了抗生素、抗寄生虫治疗及常规疫苗接种。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e6f/12130782/f5b27acf3a85/f1000research-13-183133-g0000.jpg

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