Multiple Recurrent Cystic Echinococcosis with Abdominal Aortic Involvement: A Case Report

Overview

Journal World J Clin Cases

Publisher Baishideng Publishing Group

Specialty General Medicine

Date 2020 Aug 11

PMID 32775393

Authors

Nijiati Taxifulati

Xue-An Yang

Xin-Feng Zhang

Abudusalamu Aini

Abuduaini Abulizi

Xin Ma

Adilai Abulati

Fei Wang

Ke Xu

Tuerganaili Aji

Ying-Mei Shao

Ayifuhan Ahan

Affiliations

Soon will be listed here.

Abstract

Background: Recurrent cystic echinococcosis (CE) with vital organ involvement is a challenge for clinicians. Herein, we report a case of aortic involvement in recurrent retroperitoneal CE lesions following primary splenic CE resection.

Case Summary: A 60-year-old male was admitted due to progressive abdominal pain and poor appetite. He was diagnosed with multiple recurrent CE with abdominal aortic involvement according to preoperative evaluation. During surgical resection, major aortic bleeding accidentally occurred while dissecting the cyst, which was firmly attached to the abdominal aortic wall. Hemostasis attempts were conducted to deal with this emergency situation and maintain circulation. Post-interventional recovery was uneventful, and 2-year follow-up showed no sign of recurrence or any other complications.

Conclusion: Radical resection of recurrent complicated CE with aortic involvement should be carefully planned and performed to prevent possible severe adverse complications, thereby improving the postoperative outcome.

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