Korean J Parasitol.  2013 Aug;51(4):475-477. 10.3347/kjp.2013.51.4.475.

A Case of Budd-Chiari Syndrome Associated with Alveolar Echinococcosis

Affiliations
  • 1Department of Gastroenterology, Cumhuriyet University Faculty of Medicine, 58140, Sivas, Turkey. drecakmak@hotmail.com
  • 2Department of Radiology, Cumhuriyet University Faculty of Medicine, 58140, Sivas, Turkey.
  • 3Department of Parasitology, Cumhuriyet University Faculty of Medicine, 58140, Sivas, Turkey.

Abstract

Although alveolar echinococcosis (AE) can cause a serious disease with high mortality and morbidity similar to malign neoplasms. A 62-year-old woman admitted to a hospital located in Sivas, Turkey, with the complaints of fatigue and right upper abdominal pain. On contrast abdominal CT, a 54x70x45 mm sized cystic lesion was detected in the left lobe of the liver that was seen to extend to the posterior mediastinum and invade the diaphragm, esophagus, and pericardium. The cystic lesion was seen to be occluding the inferior vena cava and left hepatic vein at the level where the hepatic veins poured into the inferior vena cava. Bilateral pleural effusion was also detected. We discussed this secondary Budd-Chiari Syndrome (BCS) case, resulting from the AE occlusion of the left hepatic vein and inferior vena cava, in light of the information in literature.

Keyword

Echinococcus multilocularis; Budd-Chiari syndrome; alveolar echinococcosis; portal hypertension
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