Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis. (18th December 2013)

• Record Type: Journal Article
• Authors: Yasuda, Tomohiko; Yoshida, Hiroshi; Ueda, Junji; Mamada, Yasuhiro; Taniai, Nobuhiko; Yoshioka, Masato; Matsushita, Akira; Kawano, Youichi; Mizuguchi, Yoshiaki; Shimizu, Tetsuya; Takata, Hideyuki; Uchida, Eiji
• Other Names: Alpini Gianfranco D. Academic Editor.
• Is Part Of: Case reports in medicine. Volume 2013(2013)
• Publication Date: 2013-12-18
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Case Reports; Periodicals; 610
• DOI: 10.1155/2013/271256
• Languages: English
• ISSNs: 1687-9627

Abstract

Abstract : Cystic echinococcosis (CE) is a rare afferent infectious disease in Japan. This paper reports a case of a hepatic cyst being diagnosed after surgical resection. A 40-year-old Syrian male was admitted for evaluation of a hepatic cyst. Serum antibodies of echinococcosis were negative. Enhanced computed tomography of the abdomen revealed a large cystic lesion, 9 cm in diameter, in the left lateral sector of the liver, which had many honeycomb-like septa and calcified lesions. Magnetic resonance imaging of this lesion revealed high intensity in the T2 weighted image. We preoperatively diagnosed this lesion as cystadenocarcinoma or CE and performed a left hepatectomy. Pathological examination revealed the presence of protoscolices in the fluid of the cysts and led to a diagnosis of this lesion as CE. In conclusion, on seeing patients with huge hepatic cysts who come from an epidemic area, we should consider hepatic CE.