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- W2895717435 abstract "Introduction: Hydatidosis is an endemic zoonosis, caused by the parasite Echinoccocus granulosus. The liver is the most commonly affected organ. The disease is slowly progressive and may remain asymptomatic for several years. When symptomatic, the clinical presentation may vary from abdominal pain, jaundice and even anaphylactic shock in extreme cases. One of the most common complications of disease is the fistulization of a hydatid cyst into the biliary tree. However, other intrahepatic structures may be rarely involved. The purpose of this study is to report a case of liver hydatid cyst with direct portal vein invasion, an unusual complication of this condition. Methods: case report. Results: A 62-year-old man comes to the outpatient clinic referring abdominal pain in the right hypocondrium for 3 months. He denies jaundice and weight loss. He claims to have been travelling in South America for several months. CT scan shows multiple confluent cysts in segments VII and VIII, with heterogeneous content and parietal calcifications, measuring about 13 x 6.5 cm. Two other cystic images with the same characteristics are present in segment V. There is thrombosis of the right portal branch. The thrombus has attenuation similar to the cystic lesions described above, corresponding to the portal extension of the hydatid cyst. The patient underwent an open right hepatectomy and gross examination of the surgical specimen confirmed the presence of hydatid material inside the right portal branch. Conclusion: Although rarely, hydatid cysts may directly involve the portal vein." @default.
- W2895717435 created "2018-10-12" @default.
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- W2895717435 date "2018-09-01" @default.
- W2895717435 modified "2023-10-17" @default.
- W2895717435 title "Hydatid liver cystic disease with portal vein invasion: a rare complication and treatment" @default.
- W2895717435 doi "https://doi.org/10.1016/j.hpb.2018.06.2837" @default.
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