Coinfection with hepatic cystic and alveolar echinococcosis with abdominal wall abscess and sinus tract formation:A case report  

作　　者：Miao-Miao Wang Xiu-Qing An Jin-Ping Chai Jin-Yu Yang Ji-De A Xiang-Ren A 

机构地区：[1]School of Continuing Education,Qinghai University,Xining 810000,Qinghai Province,China [2]Department of Internal Medicine-Cardiovascular,Qinghai Provincial People's Hospital,Xining 810007,Qinghai Province,China [3]Department of General Surgery,Qinghai Provincial People's Hospital,Xining 810007,Qinghai Province,China [4]Department of Hepatic Hydatidosis,Qinghai Provincial People's Hospital,Xining 810007,Qinghai Province,China [5]Department of Medical Laboratory Medicine,Qinghai Provincial People's Hospital,Xining 810007,Qinghai Province,China

出　　处：《World Journal of Hepatology》2024年第2期279-285,共7页世界肝病学杂志（英文版）（电子版）

基　　金：Supported by National Natural Science Foundation of China,No.82260412.

摘　　要：BACKGROUND Hepatic cystic and alveolar echinococcosis coinfections,particularly with concurrent abscesses and sinus tract formation,are extremely rare.This article presents a case of a patient diagnosed with this unique presentation,discussing the typical imaging manifestations of both echinococcosis types and detailing the diagnosis and surgical treatment experience thereof.CASE SUMMARY A 39-year-old Tibetan woman presented with concurrent hepatic cystic and alveolar echinococcosis,accompanied by abdominal wall abscesses and sinus tract formation.Initial conventional imaging examinations suggested only hepatic cystic echinococcosis,but intraoperative and postoperative pathological examination revealed the coinfection.Following radical resection of the lesions,the patient’s condition improved,and she was discharged soon thereafter.Subsequent outpatient follow-ups confirmed no recurrence of the hydatid lesion and normal surgical wound healing.Though mixed hepatic cystic and alveolar echinococcosis with abdominal wall abscesses and sinus tract formations are rare,the general treatment approach remains consistent with that of simpler infections of alveolar echinococcosis.CONCLUSION Lesions involving the abdominal wall and sinus tract formation,may require radical resection.Long-term prognosis includes albendazole and follow-up examinations.

关 键 词：Cystic echinococcosis Alveolar echinococcosis Abdominal wall abscess Surgical treatment Sinus tract Case report 

分 类 号：R532.32[医药卫生—内科学] R57[医药卫生—临床医学]