摘要
Hydatid disease is caused by the larval stage of the genus Echinococcus. Live hydatid cysts can rupture into physiologic channels, free body cavities or adjacent organs. Although hydatid disease can develop anywhere in the human body, the liver is the most frequently involved organ, followed by the lungs. Cysts of the spleen are unusual. There are only five case reports of spontaneous cutaneous fistulization of liver hydatid cysts in the literature. But there isn＇t any report about cutaneous fistula caused by splenic hydatid cyst. We report a first case of spontaneous cutaneous fistula of infected splenic hydatid cyst. A 43-year-old man was admitted to our Emergency Service with abdominal pain and fluid drainage from the abdominal wall. He has been suffering from a reddish swelling on the abdominal wall skin for four months. After a white membrane had been protruded out from his abdominal wall, he was admitted to our Emergency Service. On physical examination, a white membrane was seen to protrude out from the 2 crux I cm skin defect on the left superolateral site of the umblicus. Large, complex, cystic and solid mass of 9.5 cm-diameter was located in the spleen on ultrasonographic examination. At operation, partial cystectomy and drainage was performed. After the operation, he was given a dosage of 10 mg/kg per day of albendazole, divided into three doses. He was discharged on the postoperative 10^th d. It should be kept in mind that splenic hydatid cysts can cause such a rare complication.
棘球蚴病被类包虫的幼虫的阶段引起。实时棘球囊能破裂进生理的隧道，免费体腔或邻近的机关。尽管棘球蚴病罐头在人的身体发展在任何地方，肝是最经常深奥的机关，由肺列在后面。怒气的包囊是不平常的。仅仅有在文学的肝棘球囊的自发的皮肤的成瘘 2. 造瘘术的五份病案报告。但是关于脾的棘球囊引起的皮肤的管没有任何报告。我们报导感染的脾的棘球囊的自发的皮肤的管的第一个案例。一个 43 岁的人从腹壁腹的疼痛和液体排水地进入我们的紧急情况服务。他一直在受不了为四个月的在腹壁皮肤上的微红的胀大。在白膜从他的腹壁外面被耸出以后，他进入我们的紧急情况服务。在体格检查上，白膜被看见从 2 厘米 x 外面耸出 umblicus 的左上外侧地点上的 1 个厘米皮肤缺点。9.5 厘米直径的大、复杂、膀胱、稳固的质量在 ultrasonographic 检查上位于怒气。在操作，部分囊切除术和排水被执行。在操作以后，他每 albendazole 的天被给 10 mg/kg 的剂量，把剂量划分了成三。他被解除在上手术后 10 (th ) d。脾的棘球囊能引起如此的稀罕复杂并发症，这应该被记住。
