소화불량을 주소로 내원한 38세 남자의 초음파 촬영과 전산화단층촬영 소견에서 간의 낭종이 발 견되어 낭종적출술을 시행하였다. 낭종은 성공적으로 적출되었으며, 현미경 하에서 낭액 내에 살아 움직이는 단방조충(Echinococcus granulosus)의 protoscolek가 다수 관찰되었다. 그러나, 수술중 낭종이 터져 낭액의 유출이 있었다. 술후 환자는 albendazole을 투약받았으며, 아나필락시스 등 합병증은 관찰되지 않았다 환자는 1982년부터 3년간 사우디아라비아에서 근무한 적이 있었다. 이 환자는 국내에서 확진된 단방포충 낭종증의 제16례로, 수술 중 낭종이 터졌으나 아나필락시스를 일으키지 않은 1례이었다.
A 38-year old man visited a private clinic complaining of epigastric discomfort for 2 months A huge hepatic cyst was found by sonography and computerized tomography. An exploratory Laparotomy was performed under the impression of hydatid disease. The cyst was successfully removed. A lot of living protoscolices of Echinocucur Sranulosus were found from the cystic fluid under light microscopy. During the operation, however. the cyst was accidentally ruptured and the cystic fluid spilled out. The patient was medicated with albendazole, and had been well without any signs of anaphylaxis or recurrence for 1 year follow-up period. He had been in Saudi Arabia for 3 years. This is the 16th case of hydatid disease reported in Korea and a case without immediate complication in spite of rupture of the cyst. Key words: Echinococus Brcnulosus, man, unilocular hydatid cyst, imported case,
