Cystic hydatidosis simulating an invasive hepatic neoplasia

Authors

DOI:

https://doi.org/10.59093/27112322.172

Keywords:

Echinococcus, hydatid cyst, echinococcosis, hepatic hydatidosis.

Abstract

Cystic echinococcosis/hydatidosis is a zoonotic infection, endemic in many South American countries, characterized by liver lesions that radiologically can simulate malignant neoplasms with a cystic appearance, and depending on the time of progression and degree of obstruction of the bile duct, can present with liver failure, so a prompt diagnosis is important. We present the case of a 35-year-old male patient, with no significant pathological history, from an indigenous community and resident of a rural area in Colombia, who presented clinical symptoms and laboratory tests suggestive of bile duct obstruction, which was confirmed with the finding of an infiltrating cystic liver mass in imaging studies, initially suspecting a malignant neoplastic etiology. The patient developed a fulminant course after surgery, and the histopathological study revealed cystic hydatidosis as the definitive diagnosis.

Downloads

Download data is not yet available.

Author Biographies

Mario Caviedes-Cleves, Universidad de Antioquia

Médico, Residente de Patología, Universidad de Antioquia. Medellín, Colombia.

Andrés Lozano-Camayo, Universidad de Antioquia

Médico, Residente de Patología, Universidad de Antioquia. Medellín, Colombia.

Daniel Herrera-Orrego, Universidad de Antioquia

Médico, Residente de Cirugía General, Universidad de Antioquia. Medellín, Colombia.

Daniel Reyes-Vega, Universidad Surcolombiana

Médico, Especialista en Medicina Laboral, Universidad Surcolombiana. Neiva, Colombia.

Germán Osorio-Sandoval, Universidad de Antioquia

Médico, Especialista en Patología, Departamento de Patología, Universidad de Antioquia. Docente, Universidad de Antioquia.
Medellín, Colombia.

References

Wen H, Vuitton L, Tuxun T, Li J, Vuitton DA, Zhang W, et al. Echinococcosis: Advances in the 21st century. Clin Microbiol Rev 2019;32:e00018-00075. https://doi.org/10.1128/cmr.00075-18.

WHO Informal Working Group. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 2003;85:253-261. https://doi.org/10.1016/s0001-706x(02)00223-1.

Mansfield BS, Pieton K, Pather S. Spinal cystic echinococcosis. Am J Trop Med Hyg 2019;100:9-10. https://doi.org/10.4269/ajtmh.18-0588.

Botezatu C, Mastalier B, Patrascu T. Hepatic hydatid cyst - Diagnose and treatment algorithm. J Med Life 2018;11:203-209. https://doi.org/10.25122/jml-2018-0045.

Lantinga MA, Gevers TJ, Drenth JP. Evaluation of hepatic cystic lesions. World J Gastroenterol 2013;19:3543-3554. https://doi.org/10.3748/wjg.v19.i23.3543.

Läuffer JM, Baer HU, Maurer CA, Stoupis C, Zimmerman A, Büchler MW. Biliary cystadenocarcinoma of the liver: the need for complete resection. Eur J Cancer 1998;34:1845-1851. https://doi.org/10.1016/s0959-8049(98)00166-x.

Nunnari G, Pinzone MR, Gruttadauria S, Celesia BM, Madeddu G, Malaguarnera G, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol 2012;18:1448-1458. https://doi.org/10.3748/wjg.v18.i13.1448.

Choi BY, Nguyen MH. The diagnosis and management of benign hepatic tumors. J Clin Gastroenterol 2005;39:401-412. https://doi.org/10.1097/01.mcg.0000159226.63037.a2.

Mutafchiyski VM, Popivanov GI, Tabakov MS, Vasilev VV, Kjossev KT, Cirocchi R, et al. Cystic echinococcosis of the breast - Diagnostic dilemma or just a rare primary localization. Folia Med (Plovdiv) 2020;62:23-30. https://doi.org/10.3897/folmed.62.e47740.

Moreno-Galeana S, Mora-Muñoz VS, Marmolejo-Estrada J, Servín-Torres E. Quistes hidatídicos recurrentes en la cavidad abdominal: reporte de un caso. Cir cir 2021;89:45–58. https://doi.org/10.24875/CIRU.21000107.

Eckert J, Deplazes P. Alveolar echinococcosis in humans: the current situation in Central Europe and the need for countermeasures. Parasitol Today 1999;15:315-319. https://doi.org/10.1016/s0169-4758(99)01476-3.

Romig T, Dinkel A, Mackenstedt U. The present situation of echinococcosis in Europe. Parasitol Int 2006;55:S187-191. https://doi.org/10.1016/j.parint.2005.11.028.

Eckert J, Gemmell MA, Meslin FX, Pawlowski ZS, World Health Organization. WHO/OIE manual on echinococcosis in humans and animals : a public health problem of global concern Ginebra, Suiza: WHO; 2001. Acceso 23 de enero de 2023. Disponible en https://apps.who.int/iris/handle/10665/42427.

Published

2023-05-02

How to Cite

Caviedes-Cleves, M., Lozano-Camayo, A., Herrera-Orrego, D., Reyes-Vega, D., & Osorio-Sandoval, G. (2023). Cystic hydatidosis simulating an invasive hepatic neoplasia. Hepatología, 4(2), 123–130. https://doi.org/10.59093/27112322.172

Issue

Section

Case reports
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Escanea para compartir
QR Code