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Radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: A case report

RATIONALE: Hepatic Echinococcosis, is a zoonotic Parasitic disease with a worldwide distribution. Clinical cases of alveolar echinococcosis combined with cystic echinococcosis infection are extremely rare. PATIENT CONCERNS: A 58-year-old patient had found liver occupying lesions for more than 2 year...

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Autores principales: Ma, Xiaoguang, Su, Wei, Wang, Xiao, Zhao, Rui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615391/
https://www.ncbi.nlm.nih.gov/pubmed/37904358
http://dx.doi.org/10.1097/MD.0000000000035806
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author Ma, Xiaoguang
Su, Wei
Wang, Xiao
Zhao, Rui
author_facet Ma, Xiaoguang
Su, Wei
Wang, Xiao
Zhao, Rui
author_sort Ma, Xiaoguang
collection PubMed
description RATIONALE: Hepatic Echinococcosis, is a zoonotic Parasitic disease with a worldwide distribution. Clinical cases of alveolar echinococcosis combined with cystic echinococcosis infection are extremely rare. PATIENT CONCERNS: A 58-year-old patient had found liver occupying lesions for more than 2 years. A left hepatic alveolar hydatid was found, occupying the entire left half of the liver, with a size of approximately 6.7 cm × 10.9 cm × 8.1 cm. The size of the right liver is about 9 × 8 cm cystic hydatid, mainly located in the S5 segment of the liver. Abdominal examination: the upper abdomen is swollen, and a hard mass can be touched under the right rib margin, with tenderness and no rebound pain. The bowel sounds are normal. DIAGNOSES: Abdominal MR shows an increase in liver volume and irregular morphology, with patchy abnormal signal shadows visible in the left lobe of the liver, with a range of approximately 6.7 cm × 10.9 cm × 8.1 cm, low signal on T1WI, low signal on T2WI and FS-T2WI, slightly high signal on diffusion weighted imaging, high signal on apparent diffusion coefficient, no significant enhancement of the lesion after enhancement. In addition, there is a clump like abnormal signal shadow visible in the right lobe of the liver, with a size of approximately 7.9 cm × 7.3 cm × 7.9 cm, low signal on T1WI, mixed high signal on T2WI, high signal on diffusion weighted imaging, mixed signal on apparent diffusion coefficient. Consider: Left lobe alveolar echinococcosis, and right lobe cystic echinococcosis (CE III type). INTERVENTIONS: A radical resection was performed, including expanded left hemi-hepatectomy, cholecystectomy, right hepatic lesion resection, partial right hepatic duct resection with right hepatic duct jejunostomy. OUTCOMES: The wound healed well after resection. There was no recurrence of TC after 4 years follow-up. LESSONS: The co-infection of alveolar echinococcosis and cystic echinococcosis in a patient is an exceedingly rare occurrence. Radical resection is the only curative treatment.
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spelling pubmed-106153912023-10-31 Radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: A case report Ma, Xiaoguang Su, Wei Wang, Xiao Zhao, Rui Medicine (Baltimore) 4900 RATIONALE: Hepatic Echinococcosis, is a zoonotic Parasitic disease with a worldwide distribution. Clinical cases of alveolar echinococcosis combined with cystic echinococcosis infection are extremely rare. PATIENT CONCERNS: A 58-year-old patient had found liver occupying lesions for more than 2 years. A left hepatic alveolar hydatid was found, occupying the entire left half of the liver, with a size of approximately 6.7 cm × 10.9 cm × 8.1 cm. The size of the right liver is about 9 × 8 cm cystic hydatid, mainly located in the S5 segment of the liver. Abdominal examination: the upper abdomen is swollen, and a hard mass can be touched under the right rib margin, with tenderness and no rebound pain. The bowel sounds are normal. DIAGNOSES: Abdominal MR shows an increase in liver volume and irregular morphology, with patchy abnormal signal shadows visible in the left lobe of the liver, with a range of approximately 6.7 cm × 10.9 cm × 8.1 cm, low signal on T1WI, low signal on T2WI and FS-T2WI, slightly high signal on diffusion weighted imaging, high signal on apparent diffusion coefficient, no significant enhancement of the lesion after enhancement. In addition, there is a clump like abnormal signal shadow visible in the right lobe of the liver, with a size of approximately 7.9 cm × 7.3 cm × 7.9 cm, low signal on T1WI, mixed high signal on T2WI, high signal on diffusion weighted imaging, mixed signal on apparent diffusion coefficient. Consider: Left lobe alveolar echinococcosis, and right lobe cystic echinococcosis (CE III type). INTERVENTIONS: A radical resection was performed, including expanded left hemi-hepatectomy, cholecystectomy, right hepatic lesion resection, partial right hepatic duct resection with right hepatic duct jejunostomy. OUTCOMES: The wound healed well after resection. There was no recurrence of TC after 4 years follow-up. LESSONS: The co-infection of alveolar echinococcosis and cystic echinococcosis in a patient is an exceedingly rare occurrence. Radical resection is the only curative treatment. Lippincott Williams & Wilkins 2023-10-27 /pmc/articles/PMC10615391/ /pubmed/37904358 http://dx.doi.org/10.1097/MD.0000000000035806 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 4900
Ma, Xiaoguang
Su, Wei
Wang, Xiao
Zhao, Rui
Radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: A case report
title Radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: A case report
title_full Radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: A case report
title_fullStr Radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: A case report
title_full_unstemmed Radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: A case report
title_short Radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: A case report
title_sort radical resection of hepatic alveolar echinococcosis combined with cystic echinococcosis: a case report
topic 4900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615391/
https://www.ncbi.nlm.nih.gov/pubmed/37904358
http://dx.doi.org/10.1097/MD.0000000000035806
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