Echinococcosis Mimicking Liver Malignancy: A Case Report

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2017 May 23

PMID 28531871

Citations 8

Authors

Radek Pohnan

Miroslav Ryska

Vladislav Hytych

Radek Matej

Petr Hrabal

Jiri Pudil

Affiliations

Soon will be listed here.

Abstract

Introduction: Human Alveolar Echinococcosis - Alveolar Hydatid disease (AE) is an omitted zoonotic infection presenting with focal liver lesions. Cause of AE is a larval stage of Echinococcus multilocularis tapeworms.

Case Presentation: In this report an extraordinary case of a 38 year-old female examined due to 2 liver tumors and 2 pulmonary nodules is described. The patient underwent pulmonary and liver surgery for suspected advanced cholangiocellular carcinoma and surprisingly AE was found.

Discussion: Distinguishing intrahepatic AE from other focal liver lesion can be complicated and in many cases is diagnosed incorrectly as intrahepatic cholangiocarcinoma or other liver malignancy.

Conclusion: AE is a rare but potentially fatal parasitic infection primarily affecting liver, although it can metastasise to lung, brain and other organs. The diagnosis and treatment can be difficult and clinical misinterpretation as malignancy is not rare. The principal treatment of AE is surgery accompanied with chemotherapy.

Citing Articles

Hepatocellular Carcinoma Presenting Simultaneously with Echinococcal Cyst Mimicking a Single Liver Lesion in a Non-Cirrhotic Patient: A Case Report and Review of the Literature.

Kovac J, Mitrovic M, Jankovic A, Andrejevic M, Bogdanovic A, Zdujic P Diagnostics (Basel). 2022; 12(7).

PMID: 35885489 PMC: 9322078. DOI: 10.3390/diagnostics12071583.

Comparative study of indocyanine green (ICG)-R15 and Albumin-Indocyanine Green Evaluation (ALICE) grading system in the prediction of posthepatectomy liver failure and postoperative mortality in patients with hepatic alveolar echinococcosis.

Liang Y, Zhang Z, Dai Z, Cao R, Zhong D, Lai C BMC Gastroenterol. 2022; 22(1):297.

PMID: 35701742 PMC: 9199221. DOI: 10.1186/s12876-022-02367-x.

Treatment of Complicated Hepatic Alveolar Echinococcosis Disease With Suspicious Lymph Node Remote Metastasis Near the Inferior Vena Cava-Abdominal Aorta: A Case Report and Literature Review.

Xu X, Gao C, Qian X, Liu H, Wang Z, Zhou H Front Oncol. 2022; 12:849047.

PMID: 35402272 PMC: 8987535. DOI: 10.3389/fonc.2022.849047.

A case of alveolar echinococcosis in the liver that ruptured into the pericardium treated by a combination of hepatectomy and albendazole.

Yamamoto Y, Sakamoto Y, Kamiyama T, Nagatsu A, Asahi Y, Orimo T Surg Case Rep. 2022; 8(1):63.

PMID: 35394220 PMC: 8993950. DOI: 10.1186/s40792-022-01417-6.

Imaging Spectrum of Intrahepatic Mass-Forming Cholangiocarcinoma and Its Mimickers: How to Differentiate Them Using MRI.

Kovac J, Jankovic A, dikic-Rom A, Grubor N, Antic A, Dugalic V Curr Oncol. 2022; 29(2):698-723.

PMID: 35200560 PMC: 8870737. DOI: 10.3390/curroncol29020061.

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