Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
권호 표지
DOI QR코드

DOI QR Code

A Case of Budd-Chiari Syndrome Associated with Alveolar Echinococcosis

  • Cakmak, Erol (Department of Gastroenterology, Cumhuriyet University Faculty of Medicine) ;
  • Alagozlu, Hakan (Department of Gastroenterology, Cumhuriyet University Faculty of Medicine) ;
  • Gumus, Cesur (Department of Radiology, Cumhuriyet University Faculty of Medicine) ;
  • Ali, Celiksoz (Department of Parasitology, Cumhuriyet University Faculty of Medicine)
  • Received : 2013.03.28
  • Accepted : 2013.06.15
  • Published : 2013.08.31
Download PDF
⟨ Previous Next ⟩

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 $54{\times}70{\times}45$ 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.

Keywords

References

  1. WHO/OIE Manual on Echinococcosis in Humans and Animals: a Public Health Problem of Global Concern. WHO. 2001.
  2. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 2004; 17: 107-135. https://doi.org/10.1128/CMR.17.1.107-135.2004
  3. Bogin V, Marcos A, Shaw-Stiffel T. Budd-Chiari syndrome: in evolution. Eur J Gastroenterol Hepatol 2005; 17: 33-35. https://doi.org/10.1097/00042737-200501000-00007
  4. Bedioui H, Nouira K, Ayadi S, Daghfous A, Bakhtri M, Ksantini R, Chebbi F, Fteriche F, Jouini M, Kacem M, Emna M, Safta ZB. Budd- Chiari syndrome secondary to hepatic echinococcosis. Gastroenterol Clin Biol 2007; 31: 721-724. https://doi.org/10.1016/S0399-8320(07)91933-8
  5. Piarroux M, Piarroux R, Giorgi R, Knapp J, Bardonnet K, Sudre B, Watelet J, Dumortier J, Gerard A, Beytout J, Abergel A, Mantion G, Vuitton DA, Bresson-eHadni S. Clinical features and evolution of alveolar echinococcosis in France from 1982 to 2007: results of a survey in 387 patients. J Hepatol 2011; 55: 1025-1033. https://doi.org/10.1016/j.jhep.2011.02.018
  6. Torgerson PR, Schweiger A, Deplazes P, Pohar M, Reichen J, Ammann RW, Tarr PE, Halkik N, Müllhaupt B. 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 2008; 49: 72-77. https://doi.org/10.1016/j.jhep.2008.03.023
  7. Murad SD, Valla DC, de Groen PC, Guy Zeitoun, Hopmans JAM, Haagsma EB, van Hoek B, Hansen BE, Rosendaal FR, Janssen HLA. Determinants of survival and the effect of portosystemic shunting in patients with Budd-Chiari syndrome. Hepatology 2004; 39: 500-508. https://doi.org/10.1002/hep.20064
  8. Kawamura N, Kamiyama T, Sato N, Nakanishi K, Yokoo H, Kamachi H, Tahara M, Yamaga S, Matsushita M, Todo S. Long-term results of hepatectomy for patients with alveolar echinococcosis: a single-center experience. J Am Coll Surg 2011; 212: 804-812. https://doi.org/10.1016/j.jamcollsurg.2011.02.007
  9. El Malki HO, El Mejdoubi Y, Mohsine R, Ifrine L, Belkouchi A. Intraperitoneal perforation of hepatic hydatid cyst. Gastroenterol Clin Biol 2006; 30: 1214-1216. https://doi.org/10.1016/S0399-8320(06)73514-X
  10. Mekeel KL, Hemming AW. Combined resection of the liver and the inferior vena cava for hydatid disease. J Gastrointest Surg 2007; 11: 1741-1743. https://doi.org/10.1007/s11605-007-0292-y

Cited by

  1. A Neglected Zoonosis in Albania: why Echinococcosis is Becoming a Surgeon’s Exclusivity? vol.6, pp.1, 2014, https://doi.org/10.4084/mjhid.2014.013
  2. Hepatobiliary complications of alveolar echinococcosis: A long-term follow-up study vol.21, pp.16, 2015, https://doi.org/10.3748/wjg.v21.i16.4925
  3. Diagnosis and treatment guidelines for aberrant portal hemodynamics : The Aberrant Portal Hemodynamics Study Group supported by the Ministry of Health, Labor and Welfare of Japan vol.47, pp.5, 2017, https://doi.org/10.1111/hepr.12862
  4. Recurrent multiple-organ involvement of disseminated alveolar echinococcosis in 3 patients : Case report vol.96, pp.42, 2017, https://doi.org/10.1097/md.0000000000007632
  5. Evaluation of intrahepatic manifestation and distant extrahepatic disease in alveolar echinococcosis vol.26, pp.29, 2013, https://doi.org/10.3748/wjg.v26.i29.4302
  6. Intrahepatic manifestation and distant extrahepatic disease in alveolar echinococcosis: a multicenter cohort study vol.62, pp.8, 2013, https://doi.org/10.1177/0284185120951958