BACKGROUND Primary pelvic Echinococcus granulosus infection is clinically rare.The reported cases of pelvic Echinococcus granulosus infection are considered to be secondary to cystic echinococcosis in other organs.Sin...BACKGROUND Primary pelvic Echinococcus granulosus infection is clinically rare.The reported cases of pelvic Echinococcus granulosus infection are considered to be secondary to cystic echinococcosis in other organs.Single Echinococcus granulosus infection is very rare.CASE SUMMARY In this report,we presented a case of primary pelvic Echinococcus granulosus infection admitted to the First Affiliated Hospital of Xinjiang Medical University.We described the key diagnostic points and surgical treatment of this case.We also summarized the epidemiological characteristics and pathogenesis of the disease.CONCLUSION Our case may provide clinical data for the diagnosis and treatment of primary pelvic Echinococcus granulosus infection.展开更多
BACKGROUND Recurrent cystic echinococcosis(CE)with vital organ involvement is a challenge for clinicians.Herein,we report a case of aortic involvement in recurrent retroperitoneal CE lesions following primary splenic ...BACKGROUND Recurrent cystic echinococcosis(CE)with vital organ involvement is a challenge for clinicians.Herein,we report a case of aortic involvement in recurrent retroperitoneal CE lesions following primary splenic CE resection.CASE SUMMARY A 60-year-old male was admitted due to progressive abdominal pain and poor appetite.He was diagnosed with multiple recurrent CE with abdominal aortic involvement according to preoperative evaluation.During surgical resection,major aortic bleeding accidentally occurred while dissecting the cyst,which was firmly attached to the abdominal aortic wall.Hemostasis attempts were conducted to deal with this emergency situation and maintain circulation.Postinterventional recovery was uneventful,and 2-year follow-up showed no sign of recurrence or any other complications.CONCLUSION Radical resection of recurrent complicated CE with aortic involvement should be carefully planned and performed to prevent possible severe adverse complications,thereby improving the postoperative outcome.展开更多
BACKGROUND Pyogenic liver abscess(PLA)due to foreign body penetration of the gastrointestinal tract is rare but can lead to serious consequences if not diagnosed and managed properly.We report a case of PLA caused by ...BACKGROUND Pyogenic liver abscess(PLA)due to foreign body penetration of the gastrointestinal tract is rare but can lead to serious consequences if not diagnosed and managed properly.We report a case of PLA caused by a fishbone puncture.CASE SUMMARY This report describes the clinical features,diagnosis and treatment of a 56-yearold male patient who presented with severe pneumonia,acute respiratory failure and septic shock.The main clinical manifestation was a nonspecific recurrent infection.Based on the findings of abdominal computed tomography examination and the detailed medical history,the diagnosis was made as PLA which was caused by fishbone puncture through the stomach wall and into the liver.After active anti-inflammatory treatment,the patient’s general condition had improved.The laparoscopic drainage of the liver abscess and the foreign body removal was performed.There was no recurrence of abscess at discharge or during follow-up and the patient’s general condition was satisfactory.CONCLUSION PLA caused by foreign bodies usually requires surgical treatment or percutaneous drainage combined with antibiotics.Our case confirms that a laparoscopic approach is safe and feasible for such cases.展开更多
Intrabiliary rupture （IBR）is the most common and potentially fatal complication of Hepatic cysticechinococcosis （HCE） Early diagnosis and treatment of IBR is very important, since mortality is high when obstructio...Intrabiliary rupture （IBR）is the most common and potentially fatal complication of Hepatic cysticechinococcosis （HCE） Early diagnosis and treatment of IBR is very important, since mortality is high when obstruction of the biliary ducts occurs, leading to ascending cholangitis and septicemia.展开更多
基金Supported by the Open Project of the State Key Laboratory of Pathogenesis and Prevention and Treatment of High Incidence Diseases in Central Asia jointly established by the Provincial Government and the Ministry,No.SKLHIDCA-2019-17.
文摘BACKGROUND Primary pelvic Echinococcus granulosus infection is clinically rare.The reported cases of pelvic Echinococcus granulosus infection are considered to be secondary to cystic echinococcosis in other organs.Single Echinococcus granulosus infection is very rare.CASE SUMMARY In this report,we presented a case of primary pelvic Echinococcus granulosus infection admitted to the First Affiliated Hospital of Xinjiang Medical University.We described the key diagnostic points and surgical treatment of this case.We also summarized the epidemiological characteristics and pathogenesis of the disease.CONCLUSION Our case may provide clinical data for the diagnosis and treatment of primary pelvic Echinococcus granulosus infection.
基金the National Natural Science Foundation of China,No.81660108.
文摘BACKGROUND Recurrent cystic echinococcosis(CE)with vital organ involvement is a challenge for clinicians.Herein,we report a case of aortic involvement in recurrent retroperitoneal CE lesions following primary splenic CE resection.CASE SUMMARY A 60-year-old male was admitted due to progressive abdominal pain and poor appetite.He was diagnosed with multiple recurrent CE with abdominal aortic involvement according to preoperative evaluation.During surgical resection,major aortic bleeding accidentally occurred while dissecting the cyst,which was firmly attached to the abdominal aortic wall.Hemostasis attempts were conducted to deal with this emergency situation and maintain circulation.Postinterventional recovery was uneventful,and 2-year follow-up showed no sign of recurrence or any other complications.CONCLUSION Radical resection of recurrent complicated CE with aortic involvement should be carefully planned and performed to prevent possible severe adverse complications,thereby improving the postoperative outcome.
基金Supported by the Open Project of the State Key Laboratory of Pathogenesis,No.SKL-HIDCA-2019Prevention and Treatment of High Incidence Diseases in Central Asia jointly established by the Provincial Government and the Ministry,No.SKL-HIDCA-2022-34。
文摘BACKGROUND Pyogenic liver abscess(PLA)due to foreign body penetration of the gastrointestinal tract is rare but can lead to serious consequences if not diagnosed and managed properly.We report a case of PLA caused by a fishbone puncture.CASE SUMMARY This report describes the clinical features,diagnosis and treatment of a 56-yearold male patient who presented with severe pneumonia,acute respiratory failure and septic shock.The main clinical manifestation was a nonspecific recurrent infection.Based on the findings of abdominal computed tomography examination and the detailed medical history,the diagnosis was made as PLA which was caused by fishbone puncture through the stomach wall and into the liver.After active anti-inflammatory treatment,the patient’s general condition had improved.The laparoscopic drainage of the liver abscess and the foreign body removal was performed.There was no recurrence of abscess at discharge or during follow-up and the patient’s general condition was satisfactory.CONCLUSION PLA caused by foreign bodies usually requires surgical treatment or percutaneous drainage combined with antibiotics.Our case confirms that a laparoscopic approach is safe and feasible for such cases.
文摘Intrabiliary rupture （IBR）is the most common and potentially fatal complication of Hepatic cysticechinococcosis （HCE） Early diagnosis and treatment of IBR is very important, since mortality is high when obstruction of the biliary ducts occurs, leading to ascending cholangitis and septicemia.
