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首页> 外文期刊>Hong Kong Journal of Paediatrics >A Rare Case of Lumber Hydatid Cyst in Children
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A Rare Case of Lumber Hydatid Cyst in Children

机译：儿童少见的包虫囊肿

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A 12-year-old female noticed a swelling on her left flank. After two months, She applied at hospital for this swelling which did not grow. The mass was 7x7 cm, rigid, immobile, painless and not hyperemic on the physical examination. Other systemic exeminations and laboratory findings such as white blood cell account: 8.67/mm3, eosinophil count 0.65/mm3 were normal. Indirect haemagglutination for hytatid disease: negative. In ultrasonograpy (USG) and MRI scans a bilobule cyst measuring 3x3.5x7.5 cm in size, with a thin and smooth wall, without solid component between thoracicus longus muscle fibers at the level of L4-L5. On diagnosis stage, any cyst is not detected in other liver, lung or brain. Patient was referred to interventional radiology department, but they refused the drainage of the cyst. They diagnosed it as a benign cystic lesion. At operation the cystic lesion was approached directly via a 5 cm long left lumbar transverse incision. Cyst was made from the musles as to leave circumfarentially (Figure 1). The cystic contents were aspirated which revealed enfected cystic material. The germinative membrane was seen. Three percent NaCl solution was used as scolicidal agent. Retroperitoneal HC extending from the muscle was excised as unblock. The postoperative period was uneventfull. Preoperatively begun albendazole (10 mg/kg) was administered for 3 cures. No problem was detected in the follow-up period.
机译：一名12岁的女性注意到她的左腹肿胀。两个月后，她在医院申请了这种肿胀并没有增长的肿胀。肿块为7x7厘米，僵硬，不动，无痛且经身体检查未见充血。其他全身检查和实验室检查结果如白细胞计数：8.67 / mm 3 ，嗜酸性粒细胞计数为0.65 / mm 3 是正常的。眼球虫病的间接血凝：阴性。在超声检查（USG）和MRI中扫描大小为3x3.5x7.5 cm的双小叶囊肿，壁薄而光滑，在L4-L5的水平上，在胸长肌纤维之间没有固体成分。在诊断阶段，在其他肝，肺或脑中未检测到任何囊肿。患者被转诊至放射科，但他们拒绝引流囊肿。他们将其诊断为良性囊性病变。在手术中，通过5cm长的左腰横向切口直接接近囊性病变。囊肿是由肌肉制成的，要沿周向离开（图1）。吸出的囊性内容物显示出感染的囊性物质。看到了发芽膜。使用3％的NaCl溶液作为杀虫剂。从肌肉延伸的腹膜后HC被切除为畅通。术后时期平稳。术前开始使用阿苯达唑（10 mg / kg）进行3种治疗。在随访期内未发现问题。

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