在直腹肌的初级水囊:一个罕见的呈现在一个不寻常的位置
Rabin Acharya1, Gaurav Singh Saud1, Bindu Bista2
1Department of General and Laparoscopic Surgery.
Annals of medicine and surgery (2012)
|April 11, 2025
概括
本病例报告详细介绍了一种罕见的水类病例,该病例影响直腹肌. 早期的手术切除和阿尔本达治疗使她从这种不寻常的 Echinococcus granulosus 感染中成功康复.
科学领域:
- 寄生虫学的寄生虫学
- 医学案例报告 病例报告
- 手术病理学手术病理学
背景情况:
- 由 Echinococcus granulosus 引起的水虫病主要影响肝脏和肺部.
- 主要骨肌肉因水囊瘤而受到影响非常罕见,仅占2~3%的病例.
- 这份报告记录了直腹肌中原发性水囊的一个独特病例.
研究的目的:
- 报告尼泊尔第一个在直腹肌肌中出现初级水囊的记录病例.
- 为促进全球对 Echinococcus granulosus 感染罕见表现的理解作出贡献.
- 强调肌肉水虫疾病的诊断和治疗方面的考虑.
主要方法:
- 一个全面的案例介绍,一个38岁的女性患有腹膜质量.
- 诊断成像包括超声波和对比度增强CT.
- 囊的外科切除,随后进行组织病理学检查和术后阿尔本达治疗.
主要成果:
- 在直腹肌中确定了一个明确的囊性病变,对水性疾病的血清学是负面的.
- 组织病理学证实了 Echinococcus granulosus 的存在,揭示了层状质素和原形质素.
- 患者经历了手术后和医疗治疗后的无故复苏,没有观察到复发.
结论:
- 骨肌中的初级水囊,如直腹肌,由于生理因素而罕见.
- 诊断成像是至关重要的,因为血清学测试在肌肉水类疾病中可能不可靠.
- 手术切除结合甲虫治疗是获得有利结果的推治疗方法.
相关概念视频
Muscles of the Abdomen
885
The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
885
Abdominal Regions and Quadrants
6.8K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
6.8K
Muscles of the Pelvic Floor and Perineum
890
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
890
Assessment of the Rectum and Anus
115
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
115
Large Intestine
254
The large intestine is divided into three main regions: the cecum, colon, and rectum. Extending from the ileocecal valve to the anus, it frames the small intestine on three sides.
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
The ileocecal sphincter, a mucous membrane fold, guards the opening from the ileum to the large intestine. This valve permits material from the small intestine to pass into the large intestine. Attached to the ileocecal valve is the cecum. This small pouch, approximately 6 cm long, has a twisted, coiled tube known as...
254
Urinary Bladder
247
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
247


