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• W83996004 abstract "To the Editor:We report a case of recurrent hydatidosis in the right femoral artery 5 years after surgical treatment of the same vascular segment.In May 2003, a 39-year-old housewife from a suburban area was admitted to our department because of intermittent claudication in the right lower extremity, at 100 meters or more. In May 1998, this patient (whose case was originally reported in this journal in 20001) had experienced vascular hydatidosis, for which she had undergone iliofemoral bypass grafting with a polytetrafluoroethylene (PTFE) conduit. On physical examination, the right femoral and other distal arterial pulses were absent. There were no other pathologic findings in the lower extremities. The results of routine blood tests were normal. Chest radiography and liver ultrasonography also yielded normal results. Arteriography showed complete occlusion of the right femoral arteries, and the circulation to the deep and superficial femoral arteries appeared to be supplied by collateral vessels (Fig. 1). Our preliminary diagnosis was occlusion of the previously placed graft.Fig. 1 Angiogram shows occlusion at the junction of the right external iliac artery and the femoral artery.At surgery, we found graft occlusion and noticed that the wall of the superficial femoral artery and the region of the graft anastomosis were occupied by hydatid cysts (Fig. 2). The disease was confirmed intraoperatively by histopathologic investigation. After the occluded graft and the affected segment of arterial wall were totally removed, we placed a new 6-mm PTFE graft (W.L. Gore & Associates; Flagstaff, Ariz) between the iliac and the superficial femoral arteries. Postoperatively, there were no complications, and the femoral and other distal pulses were palpable.Fig. 2 Intraoperative view shows hydatid cysts in the lumen of the femoral artery.The patient was placed on 15 mg/kg/day of albendazole for 6 months postoperatively. She underwent examination for cysts elsewhere in the body. Before surgery, computed tomographic scans of the thorax, abdomen, and brain had shown no primary origin of the hydatid cysts. Echocardiography had shown a normal heart and great vessels. The patient was discharged on the 8th postoperative day. One and a half years after the operation, she was in excellent health and displayed no symptoms.To our knowledge, there is no other report of recurrent vascular hydatidosis in the international literature. Although our patient had undergone a postoperative course of albendazole, she had recurrent hydatid cysts in the same region 5 years later. This case emphasizes that recurrence can be encountered despite surgical intervention and albendazole therapy." @default.
• W83996004 created "2016-06-24" @default.
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• W83996004 date "2005-01-01" @default.
• W83996004 modified "2023-09-23" @default.
• W83996004 title "Recurrent primary vascular echinococcosis." @default.
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