Ertan Gulhan, Ulus Sila, Kilicarslan Rukiye, Yilmaz Mesut, Paksoy Yahya, Erol Cengiz
Department of Radiology, Istanbul Medipol University School of Medicine, Istanbul, Turkey.
Department of Radiology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.
Arab J Gastroenterol. 2019 Mar;20(1):50-52. doi: 10.1016/j.ajg.2019.01.010. Epub 2019 Mar 8.
Hydatid cyst disease is a zoonosis caused by the parasite Echinococcus. It may infest any organ of the body, but it most frequently involves the liver, lungs, and nervous system. Portal vein involvement by hydatid cyst disease is extremely rare with only five cases published in the English literature to our knowledge. We present the ultrasonography (US) and computed tomography (CT) findings of a 77-year-old male with hydatid disease of the liver with portal vein invasion mimicking portal vein thrombosis. Colour Doppler US confirmed the lack of blood flow within the portal vein and stigmata of cavernomatosis. CT clearly demonstrated a communication between the multiloculated lesion and the portal vein and the multiple daughter vesicles obstructing the portal vein. The consideration of this complication will make it possible to distinguish this entity from portal vein thrombosis and, thus, the management of the patients with hydatid cyst disease particulary in endemic regions.
包虫囊肿病是一种由棘球绦虫寄生虫引起的人畜共患病。它可能侵袭身体的任何器官，但最常累及肝脏、肺和神经系统。据我们所知，包虫囊肿病累及门静脉极为罕见，英文文献中仅发表过5例。我们报告了一名77岁男性肝包虫病伴门静脉侵犯病例的超声（US）和计算机断层扫描（CT）表现，该病例酷似门静脉血栓形成。彩色多普勒超声证实门静脉内无血流以及存在海绵样变特征。CT清晰显示多房性病变与门静脉之间的连通以及阻塞门静脉的多个子囊。考虑到这种并发症将有助于将该疾病与门静脉血栓形成相鉴别，从而对包虫囊肿病患者尤其是流行地区的患者进行管理。
