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A patient presenting with abdominal pain to the general practitioner: a case report

机译：向全科医生表现腹痛的患者：一例

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Introduction Right-sided upper abdominal pain is a common cause of presentation to general practitioners. Case presentation An otherwise well 46-year-old woman presented to her general practitioner with intermittent abdominal pain that had been present for several months. The only abnormality found at the initial consultation was moderate tenderness in the right upper abdomen. The laboratory tests that were ordered showed elevated parameters of inflammation. Sonography suggested the presence of an echinococcal cyst in segment VIII of the liver. Computed tomography confirmed this finding and showed no other cysts. On the basis of serological tests and the clinical findings, a diagnosis of Echinococcus granulosus infection was made. The patient was therefore admitted to hospital for surgical removal of the cyst. Her postoperative recovery was without complication and she remained free of symptoms. Conclusion Echinococcus granulosus infections are rare in Germany, with an incidence of 1:1,000,000. The sonographic appearances are generally characteristic and permit diagnosis. Treatment is pharmacological (albendazole, mebendazole) and surgical. It is curative in the vast majority of cases. The possibility of echinococcal infection should be considered in patients, especially immigrants, with abdominal pain.
机译：简介右侧上腹部疼痛是全科医生常见的症状。病例介绍一名其他情况良好的46岁女性因间歇性腹痛出现在她的全科医生身上，该疼痛已经持续了几个月。初诊时发现的唯一异常是右上腹部的中度压痛。所订购的实验室测试显示炎症参数升高。超声检查提示在肝脏的VIII段存在棘球chin虫囊肿。计算机体层摄影术证实了这一发现，未发现其他囊肿。根据血清学检查和临床发现，诊断为细粒棘球oc虫感染。因此，该患者因手术切除囊肿入院。术后恢复无并发症，无症状。结论在德国，粒状棘球oc球菌感染很少见，发病率为1：1,000,000。超声检查通常具有特征性并且可以进行诊断。治疗是药物治疗（阿苯达唑，甲苯达唑）和外科手术。在绝大多数情况下，它是治愈的。患有腹痛的患者，尤其是移民，应考虑可能存在棘球菌感染。

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