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A Case of Budd-Chiari Syndrome Associated with Alveolar Echinococcosis

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Although alveolar echinococcosis (AE) can cause a serious disease with high mortality and morbidity similar to malign neoplasms. A 62-year-old woman admitted to a hospital located in Sivas, Turkey, with the complaints of fatigue and right upper abdominal pain. On contrast abdominal CT, a 54×70×45 mm sized cystic lesion was detected in the left lobe of the liver that was seen to extend to the posterior mediastinum and invade the diaphragm, esophagus, and pericardium. The cystic lesion was seen to be occluding the inferior vena cava and left hepatic vein at the level where the hepatic veins poured into the inferior vena cava. Bilateral pleural effusion was also detected. We discussed this secondary Budd-Chiari Syndrome (BCS) case, resulting from the AE occlusion of the left hepatic vein and inferior vena cava, in light of the information in literature.

Abstract

Although alveolar echinococcosis (AE) can cause a serious disease with high mortality and morbidity similar to malign neoplasms. A 62-year-old woman admitted to a hospital located in Sivas, Turkey, with the complaints of fatigue and right upper abdominal pain. On contrast abdominal CT, a 54×70×45 mm sized cystic lesion was detected in the left lobe of the liver that was seen to extend to the posterior mediastinum and invade the diaphragm, esophagus, and pericardium. The cystic lesion was seen to be occluding the inferior vena cava and left hepatic vein at the level where the hepatic veins poured into the inferior vena cava. Bilateral pleural effusion was also detected. We discussed this secondary Budd-Chiari Syndrome (BCS) case, resulting from the AE occlusion of the left hepatic vein and inferior vena cava, in light of the information in literature.

참고문헌 (10)

  1. WHO, "Manual on Echinococcosis in Humans and Animals: a Public Health Problem of Global Concern", WHO, ~ (2001)
  2. Eckert J, "Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern", Clin Microbiol Rev, 17, pp.107~135 (2004)
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  6. Torgerson PR, "Alveolar echinococcosis: from a deadly disease to a well-controlled infection. Relative survival and economic analysis in Switzerland over the last 35 years", J Hepatol, 49, pp.72~77 (2008)
  7. Murad SD, "Determinants of survival and the effect of portosystemic shunting in patients with Budd-Chiari syndrome", Hepatology, 39, pp.500~508 (2004)
  8. Kawamura N, "Long-term results of hepatectomy for patients with alveolar echinococcosis : a single-center experience", J Am Coll Surg, 212, pp.804~812 (2011)
  9. El Malki HO, "Intraperitoneal perforation of hepatic hydatid cyst", Gastroenterol Clin Biol, 30, pp.1214~1216 (2006)
  10. Mekeel KL, "Combined resection of the liver and the inferior vena cava for hydatid disease", J Gastrointest Surg, 11, pp.1741~1743 (2007)

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