Okut Gokalp, Saglam Kutay, Kocaaslan Huseyin, Kayaalp Cuneyt
Department of Gastrointestinal Surgery, Inonu University School of Medicine, Malatya, Turkiye.
Hepatol Forum. 2024 Feb 12;5(2):90-92. doi: 10.14744/hf.2023.2023.0031. eCollection 2024.
Echinococcus granulosus is predominantly found in the liver and can be effectively managed through antihelminthic therapy, surgical intervention, or interventional radiology. Percutaneous treatment (PT) has gained widespread popularity due to its minimally invasive nature. An integral step in surgical and PT procedures involves the utilization of protoscolicidal agents to eliminate the parasites. However, the administration of protoscolicidal agents carries the risk of inducing caustic sclerosing cholangitis (SC) if there is a communication between the cyst and the biliary tract. In this pioneering study, we present two cases of caustic SC that occurred subsequent to PT for hydatid liver, necessitating further progression of the disease and ultimately leading to liver transplantation.
细粒棘球绦虫主要寄生于肝脏，可通过抗蠕虫治疗、手术干预或介入放射学进行有效治疗。经皮治疗（PT）因其微创性而广受欢迎。手术和PT程序中的一个重要步骤是使用原头蚴杀灭剂来消灭寄生虫。然而，如果囊肿与胆道相通，使用原头蚴杀灭剂有诱发腐蚀性硬化性胆管炎（SC）的风险。在这项开创性研究中，我们报告了两例肝包虫病经皮治疗后发生腐蚀性硬化性胆管炎的病例，疾病进一步发展，最终需要进行肝移植。
