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Liver transplantation in management of alveolar echinococcosis: two case reports.

Abstract：

:Hepatic alveolar echinococcosis is an infectious disease caused by the larval stage of Echinococcus multilocularis, which grows primarily in the liver of an infected person and develops as a tumorlike lesion. In advanced cases, the organisms infiltrate every organ neighboring the liver and spread hematogenously to distant organs such as lungs and brain. Surgical resection and liver transplantation are accepted treatment options for early and advanced disease, respectively. Herein, we present case reports of 2 patients with advanced alveolar echinococcal disease that invaded both lobes of the liver and neighboring vital structures including the inferior vena cava. Despite the technical difficulty of the surgery, both patients were successfully treated with living donor liver transplantation. Liver transplantation should be accepted as a life-saving treatment of choice in patients with alveolar echinococcosis for whom there is no other medical or surgical treatment options.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Moray G,Shahbazov R,Sevmis S,Karakayali H,Torgay A,Arslan G,Savas N,Yilmaz U,Haberal M

doi

10.1016/j.transproceed.2009.07.022

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

2936-8

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(09)01057-4

journal_volume

41

pub_type

杂志文章

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