Trigalou D, Viard H
J Chir (Paris). 1980 Apr;117(4):253-5.
In this case report of this exceptional complication of hepatic distomatosis, the authors point out the frequency and mechanism of this acute accident in the cycle of the parasite. Strong eosinophilia is useful from a diagnostic point of view in the context of an internal hemorrhage and especially for the preoperative recognition of a distomial granuloma, which is the sign of hepatic invasion by the parasite. They review the surgical therapeutic methods and also cover the treatment of subcapsular hematomas of the liver of whatever etiology: they stress conservative methods and the importance of ligature of the hepatic artery as a alternative to hepatectomy.
在这份关于肝吸虫病这一特殊并发症的病例报告中,作者指出了这种急性意外在寄生虫周期中的发生频率和机制。从诊断角度来看,在发生内出血的情况下,强烈的嗜酸性粒细胞增多是有用的,特别是对于术前识别吸虫性肉芽肿,这是寄生虫侵袭肝脏的迹象。他们回顾了外科治疗方法,还涵盖了无论何种病因的肝包膜下血肿的治疗:他们强调保守方法以及肝动脉结扎作为肝切除术替代方法的重要性。