Echinococcosis mimicking liver malignancy: A case report

Pohnán, Radek; Ryska, Miroslav; Hytych, Vladislav; Matĕj, R.; Hrabal, Petr; Pudil, Jiri

doi:10.1016/j.ijscr.2017.04.032

Cited by 22 publications

(39 citation statements)

References 15 publications

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“…Surgical treatment is usually recommended to treat liver echinococcosis in humans (Pohnan et al, 2017). In the present case, considering the risks due to the dimensions of the mass, the involvement of the caudal vena cava, and multifocal spread, the owners declined surgery.…”

Section: Discussionmentioning

confidence: 91%

“…This absence of contrast enhancement of the wall could have led the authors to consider a benign (including parasitic) lesion rather than a malignant liver tumor, despite local aggressiveness and distant lesions. The wall was partially mineralized, a feature considered typical of echinococcosis in children (Pohnan et al, 2017). In all the reported cases in the veterinary literature (Geisel et al, 1990;Deplazes et al, 2001;Scharf et al, 2004;Peregrine et al, 2012;Geigy et al, 2013;Gwada et al, 2018;Antolova et al, 2018), the most common ultrasonographic feature was a large cavitary mass within the liver.…”

Section: Discussionmentioning

confidence: 94%

“…Confusion between alveolar echinococcosis disease and neoplasia appears to be a major challenge in human medicine, in which alveolar echinococcosis may not be spontaneously included in the differential diagnoses in geographical areas where the disease is uncommon (Atanasov et al, 2013;Bansal et al, 2018). In a recent case report, hepatic E. multilocularis infection with pulmonary nodules was misdiagnosed as a cholangiocarcinoma with lung metastases in a 38-year-old woman from the Czech Republic living in Germany (Pohnan et al, 2017). The pulmonary nodules were resected and partial hepatectomy was performed.…”

Section: Discussionmentioning

confidence: 99%

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Medicamenteuze behandeling van een Echinococcus multilocularis-infectie die een lokaal agressieve cavitaire tumor met longmetastasen nabootst bij een hond

Fritz¹,

Mahinc²,

Rannou³

et al. 2019

Vlaams Diergeneeskundig Tijdschrift

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A two-year-old Labrador retriever living in the French Alps was presented with abdominal distension, lethargy and weight loss but no other specific clinical signs. CT examination revealed a large, cavitary liver mass invading the caudal vena cava, associated with multiple hepatic lesions of similar appearance, lymphadenopathy and pulmonary nodules. The condition was initially mistaken for a malignant neoplasm. However, cytologic and histologic examinations of the largest liver mass were consistent with cestodiasis and PCR testing confirmed infection with Echinococcus multilocularis. Medical treatment with albendazole was initiated. The dog remained clinically well for ten months following the diagnosis, but had to be euthanized because the owners had to return to Great-Britain and the dog could not be legally imported. To the authors’ knowledge, this is the first case report, in which long-term follow-up of Echinococcus sp. infection in a dog, managed medically, is described. This case also shows that medical management may be a viable option in case surgery is not feasible.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Medicamenteuze behandeling van een Echinococcus multilocularis-infectie die een lokaal agressieve cavitaire tumor met longmetastasen nabootst bij een hond

Fritz¹,

Mahinc²,

Rannou³

et al. 2019

Vlaams Diergeneeskundig Tijdschrift

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“…Spontaneous hemothorax has a heterogenous etiology. It can be caused by pleural pathology -rupture of pleural adhesions, endometriosis, primary tumors or metastasis; pulmonary pathology -bulous emphysema, primary and secondary tumors, pulmonary vascular malformation, necrotic infection or tuberculosis; by vascular pathology -rupture of aneurysmatic thoracic aorta, intercostal arteries or aneurysmatic mammarian vessels; abdominal pathology -pancreatic pseudocysts, hemoperitoneum, subdiaphragmatic tumors; blood coagulation disorders -trombocytopenias, haemophylia, hemorrhagic fever, hypocoagulation due tu anticoagulant therapy (6,(9)(10)(11)(12)(13).…”

Section: Since 1925mentioning

confidence: 99%

Treatment of Hemothorax in the Era Of the minimaly Invasive Surgery

Pohnán¹,

Blažková²,

Hytych³

et al. 2019

MMSL

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Hemothorax is a frequent clinical situation often associated with chest injury or with iatrogenic lesions. Spontaneous hemothorax is uncommon and among its cause may include coagulation disorders, pleural, pulmonary or vascular pathology. Diagnostics is based on radiography or ultrasound and thoracentesis which may be also therapeutic solution. The majority of hemothoraxes can be managed non-operatively but hemodynamic instability, the volume of evacuated blood and persisting blood loss or persisting hemothorax require surgery. A surgical approach may vary from open thoracotomy to rapidly developing minimally invasive methods-video-assisted thoracoscopic surgery (VATS) and videothoracoscopy (VTS).

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“…Česká republika přijala své závazky členského státu NATO a krátce po zahájení této vojenské mise vyslala svůj vojenský kontingent (3,(9)(10)(11)(12).…”

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