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Diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis

Hydatidosis is a zoonotic parasitic disease caused by Echinococcus, which is highly prevalent in pastoral areas. In China, this disease is mainly caused by Echinococcus granulosus and Echinococcus multilocularis. Cystic echinococcosis, which is one of the most common types of echinococcosis, is desc...

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Autores principales: Xu, Xiaolei, Gao, Cancan, Ye, Haiwen, Wang, Zhixin, Wang, Zhan, Zhou, Ying, Wang, Haijiu, Zhang, Bao, Pang, Mingquan, Zhou, Hu, Pan, Siyu, Zhao, Mingen, Fan, Haining
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574518/
https://www.ncbi.nlm.nih.gov/pubmed/31156003
http://dx.doi.org/10.1177/0300060519851651
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author Xu, Xiaolei
Gao, Cancan
Ye, Haiwen
Wang, Zhixin
Wang, Zhan
Zhou, Ying
Wang, Haijiu
Zhang, Bao
Pang, Mingquan
Zhou, Hu
Pan, Siyu
Zhao, Mingen
Fan, Haining
author_facet Xu, Xiaolei
Gao, Cancan
Ye, Haiwen
Wang, Zhixin
Wang, Zhan
Zhou, Ying
Wang, Haijiu
Zhang, Bao
Pang, Mingquan
Zhou, Hu
Pan, Siyu
Zhao, Mingen
Fan, Haining
author_sort Xu, Xiaolei
collection PubMed
description Hydatidosis is a zoonotic parasitic disease caused by Echinococcus, which is highly prevalent in pastoral areas. In China, this disease is mainly caused by Echinococcus granulosus and Echinococcus multilocularis. Cystic echinococcosis, which is one of the most common types of echinococcosis, is described as swelling and growth of cystic lesions. Alveolar echinococcosis, which is less common, is invasive. Cases of mixed echinococcosis infection accompanied by extrahepatic organ metastasis are extremely rare. Treatment of these cases is complicated and the prognosis is extremely poor. We report a case of hepatic echinococcosis in a 40-year-old Tibetan man who was treated with the hepatic right tricuspidectomy + left hepatic duct jejunostomy (Roux-en-Y) surgical procedure. This procedure provides a reference for treatment of similar cases of echinococcosis. For patients with multiorgan metastasis, chemotherapy is the first choice. This should be followed by possible surgical treatment for life-threatening lesions of alveolar echinococcosis and subsequent chemotherapy. Individualized treatment accompanied by multidisciplinary treatment and damage control surgery could optimally benefit patients with advanced hepatic echinococcosis.
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spelling pubmed-75745182020-10-27 Diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis Xu, Xiaolei Gao, Cancan Ye, Haiwen Wang, Zhixin Wang, Zhan Zhou, Ying Wang, Haijiu Zhang, Bao Pang, Mingquan Zhou, Hu Pan, Siyu Zhao, Mingen Fan, Haining J Int Med Res Special Issue: Rare Diseases: Advances in Diagnosis, Prevention, Treatment and Management Hydatidosis is a zoonotic parasitic disease caused by Echinococcus, which is highly prevalent in pastoral areas. In China, this disease is mainly caused by Echinococcus granulosus and Echinococcus multilocularis. Cystic echinococcosis, which is one of the most common types of echinococcosis, is described as swelling and growth of cystic lesions. Alveolar echinococcosis, which is less common, is invasive. Cases of mixed echinococcosis infection accompanied by extrahepatic organ metastasis are extremely rare. Treatment of these cases is complicated and the prognosis is extremely poor. We report a case of hepatic echinococcosis in a 40-year-old Tibetan man who was treated with the hepatic right tricuspidectomy + left hepatic duct jejunostomy (Roux-en-Y) surgical procedure. This procedure provides a reference for treatment of similar cases of echinococcosis. For patients with multiorgan metastasis, chemotherapy is the first choice. This should be followed by possible surgical treatment for life-threatening lesions of alveolar echinococcosis and subsequent chemotherapy. Individualized treatment accompanied by multidisciplinary treatment and damage control surgery could optimally benefit patients with advanced hepatic echinococcosis. SAGE Publications 2019-06-02 /pmc/articles/PMC7574518/ /pubmed/31156003 http://dx.doi.org/10.1177/0300060519851651 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Special Issue: Rare Diseases: Advances in Diagnosis, Prevention, Treatment and Management
Xu, Xiaolei
Gao, Cancan
Ye, Haiwen
Wang, Zhixin
Wang, Zhan
Zhou, Ying
Wang, Haijiu
Zhang, Bao
Pang, Mingquan
Zhou, Hu
Pan, Siyu
Zhao, Mingen
Fan, Haining
Diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis
title Diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis
title_full Diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis
title_fullStr Diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis
title_full_unstemmed Diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis
title_short Diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis
title_sort diagnosis and treatment of a case of hepatic mixed echinococcosis infection combined with distant organ metastasis
topic Special Issue: Rare Diseases: Advances in Diagnosis, Prevention, Treatment and Management
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574518/
https://www.ncbi.nlm.nih.gov/pubmed/31156003
http://dx.doi.org/10.1177/0300060519851651
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