Skin localization of alveolar echinococcosis of the liver

Bresson‐Hadni, Solange; Humbert, Philippe; Paintaud, Gilles; Auer, Herbert; Lenys, D; Laurent, R; Vuitton, DA; Miguet, Jean-Philippe

doi:10.1016/s0190-9622(96)90068-7

Cited by 41 publications

(19 citation statements)

References 12 publications

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“…The age of the patients with hydatid cyst-cutaneous fistula ranged from 11 to 86 years (mean age, 58 years) with a male-to-female ratio of 1.7:2. The primary location of the hydatid cyst was right lobe of the liver, except in 3 patients where the primary location was the spleen, 4 left lobe of the liver, 11 and skin. 1 Two of the patients had cutaneous involvement 8 years 11 and 13 years 10 after having undergone surgical treatment for hydatid disease of the liver.…”

Section: Literature Reviewmentioning

confidence: 99%

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Hydatid Disease Presenting as Cutaneous Fistula: Review of a Rare Clinical Presentation

Korwar

Subhas

Gaddikeri

et al. 2011

International Surgery

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Hydatid disease has a worldwide distribution as a result of more global travel. Liver and lungs are the most common sites for the primary hydatid cysts in the human body. We managed a 68-year-old man who presented with abdominal distension and umbilical fistula, discharging daughter cysts. Ultrasound imaging of the abdomen showed hepatic hydatid cyst forming a fistula at the umbilicus. The patient underwent a laparotomy with partial cystectomy and excision of the fistula tract. The umbilicus healed after the procedure. The patient did not have any recurrences in 5 years of follow-up. Spontaneous cutaneous fistulization of liver hydatid cyst is a rare presentation. A detailed literature search revealed 15 cases published in all languages. Hydatid disease presenting as an umbilical fistula has not been reported yet. We summarize all these cases including the presentation, findings, management, and outcome. Combined surgical and medical treatment is successful in healing of hepatic hydatid cutaneous fistula.

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Section: Literature Reviewmentioning

confidence: 99%

“…A Medline search in all languages using the keywords hydatid, cutaneous, and fistula revealed only 15 relevant cases. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] We managed a case of spontaneous fistulization of a hydatid cyst through the umbilicus.…”

mentioning

confidence: 99%

Hydatid Disease Presenting as Cutaneous Fistula: Review of a Rare Clinical Presentation

Korwar

Subhas

Gaddikeri

et al. 2011

International Surgery

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“…), and surgical competence [10,19,20]. Because conservative treatment progressed and incomplete resections seem to lack of advantage, palliative surgery should be restricted to complications which are out of control for conservative or interventional measures, e.g., bacterial superinfection of necrosis (personal experience of the authors), vena cava occlusion, abscesses, symptoms related to space occupying mass, or fistula [7,[21][22][23][24][25]. Lifelong aftercare seems appropriate not only for conservatively treated patients but also after surgery because relapses were reported even 14 and 18 years after putative curative surgery [19,26].…”

Section: Operative Treatmentmentioning

confidence: 99%

Hepatic infestation of Echinococcus multilocularis with extension to regional lymph nodes

Buttenschoen

Kern²,

Reuter

et al. 2009

Langenbecks Arch Surg

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This is the first publication on histological evidence of E. multilocularis in regional hepatic lymph nodes, and thus, demonstrating dissemination from the liver. Since AE can spread through lymphatic drainage, even without causing macroscopic conspicuity, resection should not be resumed to the liver tissue only, but rather to consider the routine removal of regional lymph nodes as well. Omission of lymph node dissection can leave behind parasitic tissue and surgical procedures erroneously judged as curative.

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“…Rare indications for palliative resections -Palliative procedures for AE localized in the skin were scarcely reported (nine cases) and done as local excisions for diagnostics and cope with local complications [21][22][23]. -In a series of liver transplantation, the procedures were considered to be palliative in ten (9%) patients due to residual AE in lung or abdominal cavity [6].…”

Section: Resultsmentioning

confidence: 99%