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Simultaneous occurrence of hepatic alveolar and cystic echinococcosis

Published online by Cambridge University Press:  30 August 2019

B. Ran
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
M. Wang
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
W. Jian
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
T. Jiang
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
R. Zhang
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
Q. Guo
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
W. Zhang
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
H. Wen
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
Y. Shao
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
T. Aji*
Affiliation:
Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, First Affiliated Hospital of Xinjiang Medical University, State137 Liyushan South Road, Xinshi District, Xinjiang, Urumqi 830011, P.R. China
*
Author for correspondence: T. Aji, E-mail: tuergan78@sina.com

Abstract

The co-occurrence of hepatic cystic echinococcosis (CE) and alveolar echinococcosis (AE) is extremely rare. Here, we present the clinical manifestations and treatment outcomes of three cases with co-occurring CE and AE in the liver. Computed tomography (CT), magnetic resonance imaging and 18FFluorodeoxyglucose Positron Emission Tomography-CT were used for preoperative diagnosis. Specimens were taken intraoperatively and sent for pathological studies to confirm the coexistence of CE and AE by laminated membrane, daughter cysts or germinal layer and infiltration structure. Albendazole was prescribed after operation for 12 months. All patients were completely recovered and showed no recurrence at last follow-up. Therefore, surgical intervention and postoperative application of albendazole are recommended for patients with concurrence of hepatic AE and CE.

Type
Short Communication
Copyright
Copyright © Cambridge University Press 2019 

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