A Case of Granular Echinococcosis of the Liver

The incidence of once-rare granular echinococcosis of the liver has recently increased and moved away from endemic areas. We report a case of granular echinococcosis of the liver. A 55-year-old Peruvian woman admitted for fever and abdominal pain was admitted with hypotension, tachycardia, hyperther...

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Veröffentlicht in:Nippon Shokaki Geka Gakkai zasshi 2004, Vol.37(12), pp.1834-1838
Hauptverfasser: Kobuchi, Taketsune, Konishi, Sayuri, Amaya, Hirokazu, Shiraishi, Susumu, Shimomatsuya, Takumi, Maruhashi, Kazuhiro, Nakagawa, Takahiro
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container_end_page 1838
container_issue 12
container_start_page 1834
container_title Nippon Shokaki Geka Gakkai zasshi
container_volume 37
creator Kobuchi, Taketsune
Konishi, Sayuri
Amaya, Hirokazu
Shiraishi, Susumu
Shimomatsuya, Takumi
Maruhashi, Kazuhiro
Nakagawa, Takahiro
description The incidence of once-rare granular echinococcosis of the liver has recently increased and moved away from endemic areas. We report a case of granular echinococcosis of the liver. A 55-year-old Peruvian woman admitted for fever and abdominal pain was admitted with hypotension, tachycardia, hyperthermia, tenderness in the right-upper abdomen, and whole-body redness and itching. Blood studies showed mildly elevated LDH and hypoxia. Abdominal US, CT, and MRI showed an 8 cm cyst in the left lobe of the liver. Suspecting a liver abscess, we conducted US-guided abscess drainage . We detected echinococcus granulosus in the cloudy yellow-brown fluid aspirated from the abscess. We prescribed Albendazole for 2 weeks, then conducted left hepatic lateral segmentectomy. In suspected liver abscess or cyst, we must keep this disease in mind, diagnosing and treating such cases carefully.
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subjects Echinococcus granulosus
liver abscess
title A Case of Granular Echinococcosis of the Liver
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