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妊娠期肝脏的巨大包虫囊肿。

A large hydatid cyst of the liver in pregnancy.

作者信息

Golaszewski T, Susani M, Golaszewski S, Sliutz G, Bischof G, Auer H

机构信息

Department of Obstetrics and Gynecology, University of Vienna Medical School, Austria.

出版信息

Arch Gynecol Obstet. 1995;256(1):43-7. doi: 10.1007/BF00634349.

DOI:10.1007/BF00634349
PMID:7726655
Abstract

We report on a primigravida, who was admitted in the 14th week of pregnancy because of recurrent vomiting and upper abdominal pain. The diagnosis of a large 20 cm echinococcal cyst of the liver was confirmed by ultrasound and an indirect hemagglutination test (IHA). In the 19th week of pregnancy a subtotal cystectomy was performed under perioperative treatment with the anthelmintic drug Albendazole. The patient delivered a 1420 g, 41 cm premature boy in breech position at 33 weeks. The significance of echinococcal cysts in pregnancy is discussed.

摘要

我们报告了一名初产妇,她在怀孕第14周因反复呕吐和上腹部疼痛入院。通过超声检查和间接血凝试验(IHA)确诊为肝脏有一个20厘米大的棘球蚴囊肿。在怀孕第19周,在使用驱虫药阿苯达唑进行围手术期治疗的情况下进行了囊肿次全切除术。患者在33周时以臀位分娩了一名体重1420克、身长41厘米的早产男婴。文中讨论了妊娠期间棘球蚴囊肿的意义。

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1
A large hydatid cyst of the liver in pregnancy.妊娠期肝脏的巨大包虫囊肿。
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Hydatid Cyst in Pregnancy-A Diagnostic and Therapeutic Dilemma: Study Case Report.妊娠合并包虫囊肿——诊断与治疗难题:病例报告
J Clin Med. 2025 Jul 17;14(14):5073. doi: 10.3390/jcm14145073.
2
Pediatric brain hydatid cyst about two cases: Case report.小儿脑包虫囊肿两例:病例报告
Ann Med Surg (Lond). 2022 May 18;78:103806. doi: 10.1016/j.amsu.2022.103806. eCollection 2022 Jun.
3
Cerebral hydatid cyst during pregnancy: A case report.妊娠期脑包虫囊肿:一例报告。

本文引用的文献

1
The metabolism of benzimidazole anthelmintics.苯并咪唑驱虫药的代谢
Parasitol Today. 1990 Apr;6(4):115-24. doi: 10.1016/0169-4758(90)90228-v.
2
Obstetric and gynaecological presentations of hydatid disease.包虫病的妇产科表现
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3
Combined application of enzyme-linked immunosorbent assay (ELISA) and indirect haemagglutination test (IHA) as a useful tool for the diagnosis and post-operative surveillance of human alveolar and cystic echinococcosis.
Ann Med Surg (Lond). 2021 Feb 11;63:102161. doi: 10.1016/j.amsu.2021.02.007. eCollection 2021 Mar.
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Pulmonary hydatid cyst in a pregnant patient causing acute respiratory failure.孕妇肺部包虫囊肿导致急性呼吸衰竭。
Ann Thorac Med. 2007 Apr;2(2):66-8. doi: 10.4103/1817-1737.32234.
酶联免疫吸附测定(ELISA)和间接血凝试验(IHA)联合应用作为诊断和术后监测人体肺泡型和囊型棘球蚴病的有用工具。
Zentralbl Bakteriol Mikrobiol Hyg A. 1988 Nov;270(1-2):313-25. doi: 10.1016/s0176-6724(88)80169-x.
4
Recurrent hydatid disease during pregnancy.
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Echinococcal disease of the liver in pregnancy.妊娠期肝包虫病
HPB Surg. 1990 Apr;2(2):115-9. doi: 10.1155/1990/93620.
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[Echinococcosis in pregnancy].[妊娠期棘球蚴病]
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[Pelvic hydatid cyst and pregnancy. Four cases].
J Gynecol Obstet Biol Reprod (Paris). 1992;21(7):803-5.