包虫囊肿外伤性破裂
Traumatic rupture of hydatid cysts.
作者信息
Leviav S, Weissberg D
机构信息
Department of Surgery, Tel Aviv University, Sackler School of Medicine, Israel.
出版信息
Can J Surg. 1996 Aug;39(4):293-6.
OBJECTIVE
To stress the relation between rupture of hydatid cysts and trauma.
DESIGN
A case series.
SETTING
A university-affiliated hospital for emergency medicine.
PATIENTS
Four college students who suffered traumatic rupture of hydatid cysts. All injuries were sustained during sporting activities.
INTERVENTIONS
Resection or unroofing of the cysts with careful removal of all hydatid elements, and suture-plication of the residual liver cavities.
RESULTS
The ruptured cysts were located in the liver, spleen and splenic flexure of the colon. At exploration, additional hydatid cysts were found, usually in the liver. Treatment resulted in complete recovery in all patients.
CONCLUSIONS
Traumatic rupture of hydatid cysts related to sporting activities may be commoner than indicated by the rarity of reports. Increased awareness of this possibility in areas where hydatid disease is endemic is encouraged.
目的
强调包虫囊肿破裂与创伤之间的关系。
设计
病例系列。
地点
一所大学附属医院的急诊科。
患者
4名因创伤导致包虫囊肿破裂的大学生。所有损伤均在体育活动中发生。
干预措施
切除囊肿或打开囊肿顶部，小心清除所有包虫成分，并对残留的肝腔进行缝合折叠。
结果
破裂的囊肿位于肝脏、脾脏和结肠脾曲。探查时发现了额外的包虫囊肿，通常在肝脏。所有患者经治疗后完全康复。
结论
与体育活动相关的包虫囊肿创伤性破裂可能比报告的罕见情况更为常见。鼓励在包虫病流行地区提高对这种可能性的认识。
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