Wang Miao-Miao, An Xiu-Qing, Chai Jin-Ping, Yang Jin-Yu, A Ji-De, A Xiang-Ren
School of Continuing Education, Qinghai University, Xining 810000, Qinghai Province, China.
Department of Internal Medicine-Cardiovascular, Qinghai Provincial People's Hospital, Xining 810007, Qinghai Province, China.
World J Hepatol. 2024 Feb 27;16(2):279-285. doi: 10.4254/wjh.v16.i2.279.
Hepatic cystic and alveolar echinococcosis coinfections, particularly with concurrent abscesses and sinus tract formation, are extremely rare. This article presents a case of a patient diagnosed with this unique presentation, discussing the typical imaging manifestations of both echinococcosis types and detailing the diagnosis and surgical treatment experience thereof.
A 39-year-old Tibetan woman presented with concurrent hepatic cystic and alveolar echinococcosis, accompanied by abdominal wall abscesses and sinus tract formation. Initial conventional imaging examinations suggested only hepatic cystic echinococcosis, but intraoperative and postoperative pathological examination revealed the coinfection. Following radical resection of the lesions, the patient's condition improved, and she was discharged soon thereafter. Subsequent outpatient follow-ups confirmed no recurrence of the hydatid lesion and normal surgical wound healing. Though mixed hepatic cystic and alveolar echinococcosis with abdominal wall abscesses and sinus tract formations are rare, the general treatment approach remains consistent with that of simpler infections of alveolar echinococcosis.
Lesions involving the abdominal wall and sinus tract formation, may require radical resection. Long-term prognosis includes albendazole and follow-up examinations.
肝囊性与泡状棘球蚴病合并感染，尤其是并发脓肿及窦道形成极为罕见。本文报道一例诊断为此种特殊表现的患者，讨论两种棘球蚴病类型的典型影像学表现，并详述其诊断及外科治疗经验。
一名39岁藏族女性同时患有肝囊性与泡状棘球蚴病，伴有腹壁脓肿及窦道形成。最初的常规影像学检查仅提示肝囊性棘球蚴病，但术中及术后病理检查发现合并感染。病变根治性切除后，患者病情好转，随后出院。后续门诊随访证实包虫病灶无复发，手术切口愈合良好。虽然肝囊性与泡状棘球蚴病合并腹壁脓肿及窦道形成较为罕见，但总体治疗方法与单纯泡状棘球蚴病感染一致。
累及腹壁及窦道形成的病变可能需要根治性切除。长期预后包括服用阿苯达唑及随访检查。
