儿童原发性肾包虫病

J. John, B. Marais
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引用次数: 0

摘要

由寄生绦虫颗粒棘球绦虫的幼虫引起的孤立性肾包虫病是一种罕见的现象,仅占所有报告病例的2%。作者报告了一例12岁的女性谁提出了右侧疼痛。最初的腹部超声显示右肾上极有一个复杂的囊性肿块。对比CT扫描更明确地将其定义为边界明确的囊肿,有多个薄分隔。实验室检查显示嗜酸性粒细胞增多和棘球蚴IgG血清学阳性。考虑到这些放射学和实验室检查结果,初步诊断为原发性肾包虫病。在围手术期抗蠕虫治疗中,作者采用开放式穿刺-抽吸-注射-呼吸技术联合包膜切除术来治疗孤立的肾包虫病。术前肾包虫病很容易被误解为更为险恶的肾囊性病理,包括囊性肾细胞癌。准确的术前诊断需要高度的怀疑指数,特别是在流行地区。手术治疗,加上围手术期的抗寄生虫治疗,提供了最好的治愈机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primary Renal Hydatid in Children
Isolated renal hydatid disease, caused by the larvae of the parasitic tapeworm Echinococcus granulosus is a rare phenomenon and accounts for only 2% of all reported cases. The authors report a case of a 12-year-old female who presented with right flank pain. Initial abdominal ultrasound revealed a complex cystic mass in the upper pole of the right kidney. A contrasted CT scan better defined it as a well-circumscribed cyst with multiple thin septations. Laboratory investigations showed eosinophilia and a positive IgG Echinococcus serology. Considering these radiological and laboratory findings, a tentative diagnosis of primary renal hydatid was made. With perioperative antihelmintic therapy, the authors used a combination of an open puncture-aspiration-injection-reaspiration technique pericystectomy to manage the isolated renal hydatid. Renal hydatid can easily be misinterpreted pre-operatively for more sinister renal cystic pathology, including cystic renal cell carcinoma. An accurate pre-operative diagnosis requires a high index of suspicion, especially in endemic regions. Surgical therapy, with perioperative antihelmintic therapy, offers the best chance of cure.
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