Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis
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 compute...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/271256 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849469379654189056 |
|---|---|
| author | Tomohiko Yasuda Hiroshi Yoshida Junji Ueda Yasuhiro Mamada Nobuhiko Taniai Masato Yoshioka Akira Matsushita Youichi Kawano Yoshiaki Mizuguchi Tetsuya Shimizu Hideyuki Takata Eiji Uchida |
| author_facet | Tomohiko Yasuda Hiroshi Yoshida Junji Ueda Yasuhiro Mamada Nobuhiko Taniai Masato Yoshioka Akira Matsushita Youichi Kawano Yoshiaki Mizuguchi Tetsuya Shimizu Hideyuki Takata Eiji Uchida |
| author_sort | Tomohiko Yasuda |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-f5f6b75f1c17452186750e8a3a56f164 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-f5f6b75f1c17452186750e8a3a56f1642025-08-20T03:25:30ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/271256271256Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative DiagnosisTomohiko Yasuda0Hiroshi Yoshida1Junji Ueda2Yasuhiro Mamada3Nobuhiko Taniai4Masato Yoshioka5Akira Matsushita6Youichi Kawano7Yoshiaki Mizuguchi8Tetsuya Shimizu9Hideyuki Takata10Eiji Uchida11Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanDepartment of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, JapanCystic 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.http://dx.doi.org/10.1155/2013/271256 |
| spellingShingle | Tomohiko Yasuda Hiroshi Yoshida Junji Ueda Yasuhiro Mamada Nobuhiko Taniai Masato Yoshioka Akira Matsushita Youichi Kawano Yoshiaki Mizuguchi Tetsuya Shimizu Hideyuki Takata Eiji Uchida Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis Case Reports in Medicine |
| title | Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis |
| title_full | Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis |
| title_fullStr | Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis |
| title_full_unstemmed | Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis |
| title_short | Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis |
| title_sort | surgical resection of hepatic cystic echinococcosis impaired by preoperative diagnosis |
| url | http://dx.doi.org/10.1155/2013/271256 |
| work_keys_str_mv | AT tomohikoyasuda surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT hiroshiyoshida surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT junjiueda surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT yasuhiromamada surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT nobuhikotaniai surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT masatoyoshioka surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT akiramatsushita surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT youichikawano surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT yoshiakimizuguchi surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT tetsuyashimizu surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT hideyukitakata surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis AT eijiuchida surgicalresectionofhepaticcysticechinococcosisimpairedbypreoperativediagnosis |