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首页> 美国卫生研究院文献>Journal of Surgical Case Reports >Total cysto-pericystectomy for huge echinococcal cyst located on hepatic segment IVb. Case report and review of the literature
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Total cysto-pericystectomy for huge echinococcal cyst located on hepatic segment IVb. Case report and review of the literature

机译：用于位于肝脏段IVB上的巨大echInococal囊肿的全胱薄膜切除术。案例报告和审查文献

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摘要

Hepatic hydatid disease is located mainly in the right liver. It is usually solitary and asymptomatic; however, a large cyst may cause compression symptoms. We report a case of a huge echinococcal cyst located in segment IVb of the liver in a 39-year-old female, 17 x 11 cm in dimensions, causing persistent epigastric pain and discomfort. The diagnosis was made by a computed tomography (CT) scan, which showed the cystic mass with the characteristic daughter cysts and reactive caps (pericystic wall) consisting of fibrous connective tissue and calcifications. The patient underwent radical resection by total cysto-pericystectomy and had an uneventful postoperative course. Follow-up showed no recurrence in CT and normal liver function test. Total cysto-pericystectomy, as an alternative to hepatectomy, is the preferable choice of radical resection operation, nowadays, in the management of liver hydatid disease even in huge cysts.
机译：肝包膜疾病主要位于右肝脏。它通常是孤独和无症状的;然而，大型囊肿可能导致压缩症状。我们举报了位于肝脏分段IVB的巨大echInococal囊肿的情况，在39岁的女性，17 x 11厘米处，尺寸为17 x 11厘米，造成持续的外延疼痛和不适。通过计算断层扫描（CT）扫描进行了诊断，其显示出具有由纤维结缔组织和钙化组成的特征子囊肿和反应性盖子（蠕虫壁）的囊性质量。患者通过全胱薄膜 - 细胞切除术接受激进切除，并具有一个平坦的术后疗程。随访显示CT和正常肝功能试验中没有复发。作为肝切除术的替代术，总胱薄膜术，是即使在巨大的囊肿中，肝脏囊状疾病的管理也是优选的自由基切除操作。

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