Vena cava inferior thrombosis in the course of advanced alveolar echinococcosis

Nowak, S; Pielok, Łukasz; Stefaniak, Jerzy

doi:10.20452/pamw.4417

Cited by 2 publications

(4 citation statements)

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“…ELISA test (Echinococcus IgG) was positive -50 NTU (positive above 11NTU) and confirmed with positive Western-blot which revealed presence of specific for Echinococcus multilocularis IgG (7,16,18,(26)(27)(28). ELISA EM2-plus (anty-E.multilocularis) was also high positive (> 3.0ABS).…”

Section: Case Presentationmentioning

confidence: 64%

“…Long lasting and late diagnosed alveococcosis leads gradually to the liver dysfunction with its internal structure rebuilding. Consequences of this are changes in the portal vein circulation and liver cirrhosis [16]. Hepatofibrosis as a result of the parasite-host interaction is a pathological feature of Echinococcus multilocularis infection that destroys normal liver tissue leading to the portal hypertension and the formation of peripheral fiberboards around the metacestode is a major reason of clinical symptoms appearance [27,28].…”

Section: Discussion and Conclussionsmentioning

confidence: 99%

“…After only several years, when the patient is not treated, cholestasis develops, thrombotic disturbances appears and changes in other distant organs [16]. These all pathologic processes as well as presence of the parasite is responsible for the full symptomatic liver fibrosis with ascites, collateral venous circulation with oesophagi varices.…”

Section: Introductionmentioning

confidence: 99%

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Portal hypertension as a result of the incomplete surgically treated advanced alveolar echinococcosis: a case description

et al. 2020

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Background: Infection of Echinococcus multilocularis causes in humans the alveolar echinococcosis. Although the infection has worldwide distribution it is rarely detected. Diagnosis of alveococcosis is difficult because of not typical clinical picture and irregular results of radiological examinations suggesting neoplasmatic process which begins in the liver tissue or in the biliary tracts. The parasitic growth is slow, so the illness is quite often established in late invasion period. Treatment of long-lasting and late diagnosed infection is difficult and requires cooperation of parasitologists together with surgeons to avoid life-threatening organ dysfunction. Case presentation: We describe a young male patient, diagnosed, according to the radiological, immunological and histological examination results, infection of Echinococcus multilocularis, who was treated with not radical resection of pathologic mass together with persistent albendazole intake. The right hepatectomy was performed. In addition, visible cysts were removed from the left lobe of the liver in nonanatomical resection and suspicious calcified lesions in hepatoduodenal ligament were also removed. After the operation portal hypertension, with splenomegaly and symptoms of the liver cirrhosis occurred (thrombocytopenia, collateral venous circulation, first degree varices oesophagii). The portal hypertension probably could be a result of incomplete surgery due to extended parasitic infection and liver anathomical changes due to performed procedures, because the portal hypertension and it's further complications had not been observed before the operation. Conclusions: Echinococcus multilocularis should be taken under consideration in differential diagnosis of irregular lesions within the liver. Lon-lasting invasion could be responsible for the irreversible secondary liver changes such as cirrhosis and portal hypertension. The surgery treatment (treatment of choice) is difficult and it's results depends on the invasion period the patient is operated on. After the surgery the patient requires careful followup, to detect early complications.

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Section: Case Presentationmentioning

confidence: 64%

Section: Discussion and Conclussionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Portal hypertension as a result of the incomplete surgically treated advanced alveolar echinococcosis: a case description

et al. 2020

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“…Our hypotheses for the probable cause of death is that peripheral blood eosinophilia caused by the parasitic infection promoted a hypercoagulable state that may have resulted in thrombosis leading to ischemia, bowel infarction, and death, which is in line with previous reports with other parasitic infestations [ 26 ]. Although many studies have found an association between the presence of thrombosis in different body sites with different parasitic infections [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ], none have directly linked thrombosis with the Enterobius vermicularis infection.…”

Section: Discussionmentioning

confidence: 99%

Fatal Case of a Child Harboring Enterobius vermicularis

et al. 2023

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Enterobius vermicularis is a threadlike parasite also known as “pinworms”. It is the most common helminth infection, affecting the gastrointestinal tracts of children worldwide, although it seldom causes any fatalities. Enterobius vermicularis infections are usually asymptomatic and may only cause anal pruritis, with occasional reported cases of ectopic migration into the appendix or the female genital tract by adult pinworms. Here, we report a case of a 15-year-old girl who presented to the emergency department with high-grade fever, vomiting, and vague abdominal pain for three days. She was diagnosed with acute abdominal pain and underwent emergency ileocecectomy, but died the following day. Pathological examination of ileocecal junction showed intraluminal and intramural Enterobius vermicularis, which were attributed as the cause of her death in the absence of any other pathologies. Death due to Enterobius vermicularis is rare; this case calls for clinicians to be vigilant in exploring Enterobius vermicularis infections in patients with undiagnosed acute abdominal pain, since it could be a potential cause of death.

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Vena cava inferior thrombosis in the course of advanced alveolar echinococcosis

Cited by 2 publications

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Portal hypertension as a result of the incomplete surgically treated advanced alveolar echinococcosis: a case description

Portal hypertension as a result of the incomplete surgically treated advanced alveolar echinococcosis: a case description

Fatal Case of a Child Harboring Enterobius vermicularis

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