Pohnan Radek, Ryska Miroslav, Hytych Vladislav, Matej Radek, Hrabal Petr, Pudil Jiri
Department of Surgery, Central Military Hospital - Faculty Military Hospital, 2nd Faculty of Medicine, Charles University, Prague, Czech Republic.
Department of Surgery, Central Military Hospital - Faculty Military Hospital, 2nd Faculty of Medicine, Charles University, Prague, Czech Republic.
Int J Surg Case Rep. 2017;36:55-58. doi: 10.1016/j.ijscr.2017.04.032. Epub 2017 May 15.
Human Alveolar Echinococcosis - Alveolar Hydatid disease (AE) is an omitted zoonotic infection presenting with focal liver lesions. Cause of AE is a larval stage of Echinococcus multilocularis tapeworms.
In this report an extraordinary case of a 38 year-old female examined due to 2 liver tumors and 2 pulmonary nodules is described. The patient underwent pulmonary and liver surgery for suspected advanced cholangiocellular carcinoma and surprisingly AE was found.
Distinguishing intrahepatic AE from other focal liver lesion can be complicated and in many cases is diagnosed incorrectly as intrahepatic cholangiocarcinoma or other liver malignancy.
AE is a rare but potentially fatal parasitic infection primarily affecting liver, although it can metastasise to lung, brain and other organs. The diagnosis and treatment can be difficult and clinical misinterpretation as malignancy is not rare. The principal treatment of AE is surgery accompanied with chemotherapy.
人类肺泡型棘球蚴病——肺泡型包虫病（AE）是一种被忽视的人畜共患感染病，表现为肝脏局灶性病变。AE的病因是多房棘球绦虫的幼虫阶段。
本报告描述了一例非同寻常的病例，一名38岁女性因2个肝脏肿瘤和2个肺结节接受检查。患者因疑似晚期胆管细胞癌接受了肺部和肝脏手术，令人惊讶的是发现为AE。
将肝内AE与其他肝脏局灶性病变区分开来可能很复杂，在许多情况下会被错误诊断为肝内胆管癌或其他肝脏恶性肿瘤。
AE是一种罕见但可能致命的寄生虫感染病，主要影响肝脏，尽管它可转移至肺、脑和其他器官。其诊断和治疗可能很困难，临床上误诊为恶性肿瘤并不罕见。AE的主要治疗方法是手术加化疗。
