Wang Huiyao, Xia Qian, Wang Xiaoling, Zhang Xuhui, Ren Yelei, Wang Yifei, Li Yongzhong, Cai Diming
Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.
Department of Operation Management, West China Hospital, Sichuan University, Chengdu, China.
Iran J Parasitol. 2023 Oct-Dec;18(4):563-567. doi: 10.18502/ijpa.v18i4.14265.
Alveolar echinococcosis (AE) is an important zoonotic tropical disease in China that affects people living in western endemic areas. The disease is prone to occur in the liver with a characteristic similar to slow-growing malignant tumors. We report a 31-year-old male patient with serious complication after hepatorrhaphy, who had presented with clinical manifestations of hepatapostema with infection. Ultrasound (US) and computer tomography (CT) are two important medical imaging modalities to diagnose hepatic AE. Based on the medical history, clinical findings, laboratorial and imaging results, the patient was misdiagnosed with hepatapostema. A series of subsequent treatments were ineffective. Finally, partial hepatectomy was performed, and postoperative pathological results confirmed hepatic AE. The patient has now recovered.
泡型肝包虫病（AE）是中国一种重要的人畜共患热带疾病，影响生活在西部流行地区的人群。该病易发生于肝脏，其特征类似于生长缓慢的恶性肿瘤。我们报告一名31岁男性患者，在肝缝合术后出现严重并发症，表现为肝脓肿伴感染的临床症状。超声（US）和计算机断层扫描（CT）是诊断肝泡型包虫病的两种重要医学成像方式。根据病史、临床表现、实验室检查和影像学结果，该患者被误诊为肝脓肿。随后的一系列治疗均无效。最后进行了部分肝切除术，术后病理结果证实为肝泡型包虫病。该患者现已康复。
