Abstract

A previously healthy 14-year-old male presented with abrupt onset respiratory failure with hemoptysis and anaphylaxis. Imaging demonstrated a large, cystic lesion with bronchopleural fistula that was consistent with cystic echinococcosis. He underwent thoracotomy for cyst removal and bronchopleural fistula repair, then completed 3 months of albendazole therapy. He developed recurrence of a bronchopleural fistula 4 months after surgery which improved over time with conservative management. This case highlights pathognomonic imaging and pathology findings for cystic echinococcosis.

中文翻译：

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因囊性包虫病导致青少年咯血的急性呼吸衰竭

摘要

一名既往健康的 14 岁男性出现突发性呼吸衰竭伴咯血和过敏反应。影像学显示一个大的囊性病变伴支气管胸膜瘘，与囊性棘球蚴病一致。他接受了开胸切除囊肿和支气管胸膜瘘修复，然后完成了3个月的阿苯达唑治疗。他在手术后 4 个月出现支气管胸膜瘘复发，随着时间的推移通过保守治疗得到改善。该病例突出了囊性棘球蚴病的影像学特征和病理学发现。