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一名13岁女孩的罕见原发性枕颈包虫囊肿:叙利亚的一例罕见病例报告

A rare primary occipitocervical hydatid cyst in a 13-year-old girl: a rare case report from Syria.

作者信息

Hamid Hammoud, Aasi Muataz, Yousef Ahmad, Alarsan Mohammed, Ghanem Muhammad, Mohaisen Mais Alreem Basel, Sibai Mohamad

机构信息

Department of General Surgery, Faculty of Medicine, Damascus University, Al-Rashid Hospital, Damascus, Syrian Arab Republic.

Department of General Surgery, Faculty of Medicine, Homs University, Al-Rashid Hospital, Damascus, Syrian Arab Republic.

出版信息

J Surg Case Rep. 2025 Sep 9;2025(9):rjaf699. doi: 10.1093/jscr/rjaf699. eCollection 2025 Sep.

Abstract

Cervical hydatid cysts are extremely rare manifestations of , typically occurring in the liver or lungs. Their atypical appearance presents difficulties in diagnosis and may divert physicians from considering parasite causes. We report the case of a 13-year-old female who exhibited a painful occipitocervical mass; she came from an endemic area. Imaging revealed a clearly defined cystic lesion; no hepatic or pulmonary involvement was observed. The cyst was surgically removed without any complications. Postoperative albendazole medication was delivered for 4 months, resulting in no adverse hepatic effects and no recurrence during the follow-up period. This case highlights the diagnostic significance of early multimodal imaging (ultrasound and computed tomography/magnetic resonance imaging) for evaluating atypical masses in the neck. Primary cervical hydatid cysts in endemic regions must be considered in the differential diagnosis of cystic neck diseases.

摘要

颈部包虫囊肿是极其罕见的表现,通常发生在肝脏或肺部。其非典型外观给诊断带来困难,可能使医生忽略寄生虫病因。我们报告一例13岁女性病例,她表现为枕颈部疼痛性肿块;她来自流行地区。影像学检查显示一个边界清晰的囊性病变;未观察到肝脏或肺部受累。囊肿经手术切除,无任何并发症。术后给予阿苯达唑药物治疗4个月,未出现肝脏不良反应,随访期间无复发。该病例强调了早期多模态成像(超声和计算机断层扫描/磁共振成像)对评估颈部非典型肿块的诊断意义。在地方性流行地区,颈部原发性包虫囊肿必须纳入颈部囊性疾病的鉴别诊断中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba2/12419523/7db885236571/rjaf699f1.jpg

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