Unexpected discovery of massive liver echinococcosis. A clinical, morphological, and functional diagnosis
Título del documento: Unexpected discovery of massive liver echinococcosis. A clinical, morphological, and functional diagnosis
Revista: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000415692
ISSN: 1665-2681
Autors: 1
2
1
3
1
Institucions: 1Universita di Bari, Scuola di Medicina, Bari, Puglia. Italia
2Policlinico Gemelli, Unita Epatobiliari, Roma, Lazio. Italia
3Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts. Estados Unidos de América
Any:
Període: Jul-Ago
Volum: 12
Número: 4
Paginació: 466-473
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés We report a case of symptomatic massive liver echinococcosis due to Echinococcus granulosus, unexpectedly found in a 34 year old woman living in Apulia, Italy. Based on size (max diameter 18 cm), clinical presentation, geographical area, and natural history of echinococcosis, we estimate that the initial infection should have occurred 9-20 yrs before. Presenting symptoms were those of typical mass effect with RUQ pain, pruritus, malaise, and recent weight loss. Abdominal ultrasound diagnosis of probable echinococcal cyst was subsequentely confirmed by positive serology and further detailed by radiological imaging. The cyst was massively occupying subdiaphragmatic liver segments and extending to the omentum and the stomach. The characteristics of the lesion were compatible with the WHO 2003 classification type CE2l, indicating a large active fertile cyst with daughter cysts. The cyst was successfully treated with medical therapy followed by surgery. The prevalence, diagnostic workup, management, and costs of echinococcosis are discussed in this case presentation
Disciplines Medicina
Paraules clau: Gastroenterología,
Parasitología,
Masa hepática,
Zoonosis,
Equinococosis hepática,
Ultrasonografía
Keyword: Medicine,
Gastroenterology,
Parasitology,
Liver mass,
Zoonoses,
Liver echinococcosis,
Ultrasonography
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