Advanced alveolar echinococcosis disease associated with Budd–Chiari syndrome
| Autor: | Vural Soyer, Cengiz Ara, Mustafa Ozsoy, Okay Koç, Sezai Yilmaz, Baris Sarici, Faik Yaylak |
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| Rok vydání: | 2015 |
| Předmět: |
Budd-Chiari syndrome
Clinical imaging Pathology medicine.medical_specialty Alveolar echinococceal disease biology business.industry Living donor liver transplantation Case Report End stage liver disease Alveolar echinococcosis Disease medicine.disease Echinococcus multilocularis biology.organism_classification Budd–Chiari syndrome Advanced disease Medicine Surgery business Computed tomography |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2015.01.017 |
| Popis: | Highlights • Alveolar echinococcosis is an emerging community problem. • Advanced disease may be presented with end stage liver disease and Budd–Chiari syndrome. • Living donor liver transplantation may be a treatment option. However, outcomes may be poor. Introduction Alveolar echinococceal disease of the liver is rare. Echinococcus multilocularis is responsible for the development of the related clinical conditions. Advanced disease may result with serious complications such as end stage liver disease and Budd–Chiari syndrome. Presentation of case In this presentation, a 28 years-old woman who was a case with advanced alveolar echinococcosis complicated with a Budd–Chiari syndrome and was performed successful living donor liver transplantation, has been demonstrated with clinical and radiological images. Discussion Initially there may be no clinical evidence of the disease in humans for years. Severity and fatality are the significant characteristics of the natural history. Extension to the surrounding tissues and metastasis of the parasitic mass may be observed. Prevention is essential in disease control. Serologic assay may identify the parasite. However, early diagnosis is rare. Staging is based on radiologic imaging. Some patients with advanced disease may require surgery. Hepatic resection and liver transplantation are accepted procedures in selected patients. Conclusion The importance of early diagnosis to prevent advanced complications such as development of Budd–Chiari syndrome and metastasis has been underlined. |
| Databáze: | OpenAIRE |
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