Sato N, Namieno T, Takahashi H, Yamashita K, Matsuhisa T, Aoki S, Uchino J
First Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
J Gastroenterol. 1996 Dec;31(6):885-8. doi: 10.1007/BF02358620.
Alveolar echinococcosis of the liver (AEL) takes a progressive and malignant course. Intra-abdominal dissemination of the parasite has a miserable outcome. Complete resection of the lesion is indispensable for the curative treatment of AEL. We experienced an extremely rare case of intra-abdominal rupture of AEL. The patient had repeated recurrences of AEL following the traumatic rupture of the lesion. After repeated resections of the lesions and appropriate medication, the patient is still alive more than 25 years since the initial onset of the disease. AEL differs from unilocular echinococcosis in terms of biological behavior. We compare the pathophysiology of the two conditions.
肝泡型包虫病（AEL）呈进行性恶性病程。寄生虫在腹腔内播散预后不佳。病灶的完整切除对于AEL的根治性治疗必不可少。我们遇到了一例极为罕见的AEL腹腔内破裂病例。该患者在病灶创伤性破裂后AEL反复复发。经过反复的病灶切除及适当药物治疗，自疾病初发以来该患者已存活超过25年。AEL在生物学行为方面不同于单房型包虫病。我们比较了这两种疾病的病理生理学。
