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胰腺棘球蚴囊肿

[Hydatid cyst of the pancreas].

作者信息

Grădinaru V, Seicaru T, Ionescu M, Lotreanu S

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1980 Mar-Apr;29(2):129-33.

PMID:6447327
Abstract

The pancreatic localization of hydatidosis is exceedingly rare (between 0,5 and 3%). A double localization, in the lung and in the pancreas was encountered only by J. Caroli and by authors of the present paper. As a rule the diagnosis is made during the biliopancreatic complications by surgical exploration. The evolution of a patient aged 55 is discussed, who presented with an icterocholangitic syndrome suggesting neoplastic disease, with an image of hidatic cyst in the upper third level of the right lung. The diagnosis of pancreatic hydatic cyst was made by puncture, during surgery, and retrogastric cystogastrectomia according to Jedlicka was followed by irreversible acute hepatorenal failure.

摘要

包虫病在胰腺的定位极其罕见(0.5%至3%)。仅J. 卡罗利以及本文作者遇到过肺和胰腺的双重定位情况。通常在手术探查发现胆胰并发症时做出诊断。本文讨论了一名55岁患者的病情发展,该患者表现出提示肿瘤性疾病的黄疸性胆管炎综合征,右肺上三分之一处有包虫囊肿影像。术中通过穿刺诊断为胰腺包虫囊肿,随后按照杰德利卡法进行胃后囊肿胃切除术,结果出现了不可逆的急性肝肾衰竭。

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