Surgical Resection of Hepatic Cystic Echinococcosis Impaired by Preoperative Diagnosis

Abstract EN

Cystic echinococcosis (CE) is a rare afferent infectious disease in Japan.

This paper reports a case of a hepatic cyst being diagnosed after surgical resection.

A 40-year-old Syrian male was admitted for evaluation of a hepatic cyst.

Serum antibodies of echinococcosis were negative.

Enhanced computed tomography of the abdomen revealed a large cystic lesion, 9 cm in diameter, in the left lateral sector of the liver, which had many honeycomb-like septa and calcified lesions.

Magnetic resonance imaging of this lesion revealed high intensity in the T2 weighted image.

We preoperatively diagnosed this lesion as cystadenocarcinoma or CE and performed a left hepatectomy.

Pathological examination revealed the presence of protoscolices in the fluid of the cysts and led to a diagnosis of this lesion as CE.

In conclusion, on seeing patients with huge hepatic cysts who come from an epidemic area, we should consider hepatic CE.