肝包虫囊肿自发性破裂继发急性腹膜炎1例并文献复习

IF 1.1 Q4 INFECTIOUS DISEASES
IDCases Pub Date : 2025-01-01 DOI:10.1016/j.idcr.2025.e02166
Imen Ben Ismail , Elmontassar Belleh Zaafouri, Hakim Zenaidi, Saber Rebii, Ayoub Zoghlami
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引用次数: 0

摘要

肝包虫病自发性腹膜内破裂是一种罕见但严重的并发症,由于过敏性休克和继发性腹膜包虫病等风险,可导致显著的发病率和死亡率。本报告报告了一名来自突尼斯农村地区的59岁男性农民的病例,他表现为严重腹痛、恶心和呕吐。诊断影像显示大肝囊肿伴游离腹膜液,提示包虫囊肿破裂。紧急手术包括囊肿清除、腹膜灌洗和引流。术后患者出现一过性胆道瘘,经阿苯达唑治疗预防复发,恢复良好。术后6个月,患者仍无症状。该病例强调了在流行地区的急腹症诊断中考虑包虫病的重要性,并强调了成像和及时手术干预的关键作用。文献综述表明,囊肿破裂的患病率存在差异,并强调需要将手术和抗寄生虫治疗相结合的综合方法来有效管理和预防复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute peritonitis secondary to spontaneous rupture of hepatic hydatid cyst: A case report and literature review
Spontaneous intraperitoneal rupture of hepatic hydatid cysts is a rare but serious complication that can lead to significant morbidity and mortality due to risks such as anaphylactic shock and secondary peritoneal hydatidosis. This report presents the case of a 59-year-old male farmer from a rural area of Tunisia who presented with severe abdominal pain, nausea, and vomiting. Diagnostic imaging revealed a large hepatic cyst with free peritoneal fluid, indicating a ruptured hydatid cyst. Emergency surgery involved cyst evacuation, peritoneal lavage, and drainage. Postoperatively, the patient developed a transient biliary fistula but recovered well with albendazole therapy to prevent recurrence. Six months post-surgery, the patient remains asymptomatic. The case underscores the importance of considering hydatid disease in acute abdomen diagnoses in endemic regions and highlights the critical role of imaging and timely surgical intervention. The literature review indicates variability in the prevalence of cyst rupture and emphasizes the need for a comprehensive approach combining surgery and antiparasitic treatment for effective management and recurrence prevention.
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IDCases
IDCases INFECTIOUS DISEASES-
CiteScore
2.60
自引率
6.70%
发文量
300
审稿时长
10 weeks
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