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首页> 外文期刊>American Journal of Case Reports >Hepatic Hydatid Cyst Misdiagnosed as Simple Cyst: A Case Report
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Hepatic Hydatid Cyst Misdiagnosed as Simple Cyst: A Case Report

机译：肝包肝囊肿误诊为简单的囊肿：案例报告

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Patient: Female, 40-year-old Final Diagnosis: Hepatic hydatid Symptoms: None Medication:— Clinical Procedure: Surgery removal Specialty: Gastroenterology and Hepatology ? Surgery Objective: Unusual clinical course Background: Hepatic hydatid cysts is a cystic disease of the liver caused by echinococcosis. Echinococcosis usually forms a monolocular cyst and causes space occupying effect, while alveolar echinococcosis often progresses into a polycystic mass that dilates into the adjacent liver parenchyma, with different clinical manifestations. In clinical practice, hepatic hydatid cyst and simple cyst are generally diagnosed clearly, but there are still misdiag-nosed cases. Case Report: A 40-year-old female patient with no symptoms had a computed tomography and magnetic resonance imaging examination that revealed multiple round-like shadows of varying sizes in her liver. Combined with the laboratory and imaging results, the diagnosis was considered as hepatic hemangioma and hepatic cyst. Therefore, we planned to perform ultrasound guided microwave ablation of hepatic hemangioma and laparoscopic fenestration of hepatic cyst. Considering the possibility of hepatic hydatid cysts during the operation, partial hepatectomy was performed. Conclusions: More attention should be paid to the differential diagnosis of cystic space occupying lesions in the liver. For the treatment of hepatic cyst, if suspected, must change the surgical strategy.
机译：患者：女性，40岁的最终诊断：肝卫生毒症状：无药物： - 临床手术：手术清除专业：胃肠学和肝脏学术？手术目标：异常的临床课程背景：肝包肝囊肿是肝癌引起的肝脏囊性疾病。超声波功能亢进通常形成单床囊肿并导致空间占据效果，而肺泡棘球蛋现常常进化到扩张到相邻的肝脏实质中的多囊肿块中，具有不同的临床表现。在临床实践中，通常清楚地诊断肝包肝囊肿和简单的囊肿，但仍有误报的情况。案例报告：一个40岁的雌性患者没有症状，具有计算的层析成像和磁共振成像检查，揭示了她肝脏中不同尺寸的多圆形阴影。结合实验室和成像结果，诊断被认为是肝血管瘤和肝​​囊肿。因此，我们计划进行肝血管瘤的超声引导微波消融和肝囊肿的腹腔镜失效。考虑到在手术过程中肝化物囊肿的可能性，进行部分肝切除术。结论：应更多地关注肝脏患者患者的囊性空间的差异诊断。对于肝囊肿的治疗，如果怀疑，必须改变手术策略。

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