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NEJM：肝脏棘球绦虫囊肿-病例报道

2018-07-12 xing.T MedSci原创

肝脏棘球绦虫囊肿
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包虫病是由棘球绦虫引起的。狗是最终的宿主; 当人类或其他动物摄入粪便中的虫卵时，就会传播感染。

患者为一名30岁的男性，因右上腹部间歇性不适15个月而就诊。他住在摩洛哥的一个农村地区，偶尔会和狗接触。

体格检查显示肝肿大，可触及肝脏肿块。实验室检查显示白细胞计数和绝对嗜酸性粒细胞计数正常。腹部超声检查（如图A所示）和计算机断层扫描（如图B所示）发现肝脏右叶有大囊肿，含有包虫膜（如黑色箭头所示）和子囊泡（如白色箭头所示）。酶联免疫吸附试验表明患者血液中的抗棘球蚴IgG抗体指数为16.7（正常值≤11）。



包虫病是由棘球绦虫引起的。狗是最终的宿主; 当人类或其他动物摄入粪便中的虫卵时，就会传播感染。

该患者接受了剖腹手术，在手术期间切除全部囊肿，内容物没有溢出。术后检测到棘球绦虫颗粒体。术后2个月的随访超声检查未见复发迹象。

原始出处：

Ghizlane Lembarki,et al.Echinococcal Cysts in the Liver.N Engl J Med 2018;https://www.nejm.org/doi/full/10.1056/NEJMicm1702005

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    2018-07-13 仁者大医

    #囊肿#

    0

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    2018-07-13 jmtang

    #棘球绦虫#

    0

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    2018-07-13 zhang92567

    #绦虫#

    0

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    2018-07-13 1ddf0692m34(暂无匿称)

    学习了.长知识

    0

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    2018-07-12 龙胆草

    学习谢谢分享

    0

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