Hydatid Cyst of Liver: A Case Report

肝臟包蟲囊病：病例報告

江國賢(Kuo-Hsien Chiang) ； 張寶源(Pau-Yang Chang) ； 劉奕祥(Yi-Xiang Liu) ； 李世傑(Sea-Kiat Lee) ； 嚴寶勝(Pao-Sheng Yen) ； 凌昌明(Chang-Ming Ling) ； 林昭君(Chao-Chun Lin) ； 李超群(Chau-Chin Lee) ； 周紹賓(Andy Shau-Bin Chou)

《中華放射線醫學雜誌》 30卷5期 (2005/10) Pp. 295-299

摘要

一個來自尼泊爾的28歲喇嘛感到間歇性的腹痛己有兩年。腹部超音波，電腦斷層及核磁共振影像顯示在肝臟尾葉有一個多囊性的腫塊，合併有囊壁及間隔的增厚及鈣化。初步診斷為肝臟包蟲囊病後，病人接受了肝左葉切除及膽囊切除。組織學檢查可見許多子囊飄浮在大的囊腫內。包蟲囊病在台灣並不常見，大多只發生在移民和去過疫區旅行的人身上。病人可能沒有症狀，但也可能有致命的併發症。手術治療被認為是有機會完會治癒的方法。依據典型的影像表現作術前的診斷是很重要的，外科醫師可以特別注意不要因病灶破裂造成腹內感染

關鍵字

犬包生絛蟲 ； 包蟲囊病 ； 肝臟

並列摘要

A 28-year-old lama, who came from Nepal, presented with intermittent abdominal pain for 2 years. Abdominal sonography, CT and MRI showed a multiloculated cystic mass in the caudate lobe of liver with some punctate calcifications at the peripheral wall and thickened septa. Under the impression of hepatic hydatid cyst, the patient received left lobectomy and cholecystectomy. Histological study of the lesion showed a cyst with many daughter cysts lying free in the cyst fluid. Hydatid cyst is uncommon in Taiwan and has been found only in immigrants or persons with a history of travel to endemic areas. It may be asymptomatic or may lead to lethal complications. Surgery is considered the optimal treatment that has the potential to remove the cyst and leads to complete cure. It is important to make a preoperative diagnosis based on the typical image findings, so that surgeons may take particular precaution not to rupture the lesion as peritoneal spillage may lead to disseminated implantation.

並列關鍵字

Echinococcus granulosus ； Hydatid cyst ； Liver