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An Imported Case of Cystic Echinococcosis in the Liver

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초록

A 25-year-old Uzbek male presented with right upper abdominal pain for 20 days. On radiologic studies, a huge cystic mass was noticed in the right liver which was suspected as parasitic. The patient received right hepatic segmentectomy (segment 7), and the surgically resected mass was confirmed as cystic echinococcosis (CE), measuring 10.5 cm in its diameter. The inner surface of the cyst was bile-stained. The patient was discharged on the 8th hospital day, and was rechecked 6 months after the surgical intervention without any evidence of recurrence. The present report describes findings of an imported case of CE which represented ultrasound images of the ‘ball of wool’.

Abstract

A 25-year-old Uzbek male presented with right upper abdominal pain for 20 days. On radiologic studies, a huge cystic mass was noticed in the right liver which was suspected as parasitic. The patient received right hepatic segmentectomy (segment 7), and the surgically resected mass was confirmed as cystic echinococcosis (CE), measuring 10.5 cm in its diameter. The inner surface of the cyst was bile-stained. The patient was discharged on the 8th hospital day, and was rechecked 6 months after the surgical intervention without any evidence of recurrence. The present report describes findings of an imported case of CE which represented ultrasound images of the ‘ball of wool’.

참고문헌 (10)

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  2. Grosso G, "Worldwide epidemiology of liver hydatidosis including the Mediterranean area", World J Gastroenterol, 18, pp.1425~1437 (2012)
  3. da Silva AM, "Human echinococcosis: A neglected disease", Gastroenterol Res Pract (2010)
  4. Brunetti E, "International CE Workshop in Lima, Peru, 2009. Cystic echinococcosis: Chronic, complex, and still neglected", PLoS Negl Trop Dis, 5, pp.e1146~ (2011)
  5. Sun-Ju Byun, "An Imported Case of Echinococcosis of the Liver in a Korean Who Traveled to Western and Central Europe", The Korean Journal of Parasitology, 48(2), pp.161~165 (2010), 대한기생충학회
  6. 김수진, "Recurrent Hepatic Alveolar Echinococcosis: Report of The First Case in Korea with Unproven Infection Route", The Korean Journal of Parasitology, 49(4), pp.413~418 (2011), 대한기생충학회
  7. Brunetti E, "Writing Panel for WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans", Acta Trop, 114, pp.1~16 (2010)
  8. WHO Informal Working Group, "International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings", Acta Trop, 85, pp.253~261 (2003)
  9. Nunnari G, "Hepatic echinococcosis: Clinical and therapeutic aspects", World J Gastroenterol, 18, pp.1448~1458 (2012)
  10. Torgerson PR, "Present situation of cystic echinococcosis in Central Asia", Parasitol Int, 55, pp.S207~S212 (2006)

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