Alveolar hydatid disease of the liver with Budd-Chiari syndrome

Abstract

Summary Alveolar hydatid disease in man is the intermediate stage in the life cycle of the tapeworm Echinococcus multilocularis. This is a rare disease restricted to very few areas of the world. The occurrence of this disease in India is now described for (so far as the authors are aware) the first time. Some unusual features of the disease are highlighted in this patient. The hepatic lesion had infiltrated into the right atrial wall resembling an atrial tumour. The ostium of the inferior vena cava was occluded, causing Budd-Chiari syndrome. The radiological and haemodynamic study of the hepatic outflow tract in this disease are documented.

Changing spectrum of Budd-Chiari syndrome in India with special reference to non-surgical treatment

“…This was in contrast to the initial study period (before 2001), during which few tests were performed, where etiology was evident only in 28.5% cases. None of our patients were pregnant, taking oral contraceptive pills, in a post-partum state, had abdominal trauma, abdominal surgery, amoebic liver abscess, pyogenic liver abscess, hydatid cyst, hepatic tuberculosis or filariasis; these were the predominant causes in the previous Indian studies [9,[12][13][14][15][16][17][18][19][20]23,42] . Previous Indian series (before the year 2001) have shown identification of underlying etiology in 12%-50%, of which hypercoagulable states were uncommon [9,[12][13][14][15]42] .…”

“…In contrast to the western world, in the Indian series, there is a striking predominance of IVC obstruction (mainly from membrane or web) or combined IVC-HV obstruction rather than HV obstruction alone [12][13][14][15] . Tumors, pregnancy, oral contraceptive pills (OCP) and infections were proposed as predominant underlying etiologies, hypercoagulable states were uncommon, and idiopathic cases were the most common [9,[12][13][14][15][16][17][18][19][20][21]42] . In the series of cases during the last 10 years, various hypercoagulable states are being increasingly described as etiologies of BCS [24][25][26][28][29][30]46,47] .…”

“…The majority of patients with BCS present with a chronic course, while only a small number of patients present with acute or fulminant forms [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] . BCS is mostly encountered in the adult population and considered uncommon in children; when seen in children, the clinical presentation is similar [13] .…”

Alveolar hydatid disease of the liver: A rare entity in India

“…This pattern mimics invasive carcinoma. 5 Central necrotic cavities are often found in advanced stages of hepatic alveolar echinococcosis. 6 Because of the slow growth, patients become symptomatic in later stages.…”

Budd-Chiari syndrome associated with liver hydatid disease: retrospective evaluation of color Doppler US findings with emphasis on intrahepatic venous collateralization

“…8 Altough the association of BCS and HDL has been previously reported, most of these studies are either case reports or clinical studies without any significant imaging evidence. [9][10][11][12][13] To the best of our knowledge, our study is the first in which this association is demonstrated at US in a relatively high number of patients. The aim of this retrospective study is to report a group of patients who developed BCS secondary to HDL, with the special emphasis on the sonographic appearances of typical intrahepatic venous collaterals that aid in the correct diagnosis.…”