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首页> 外文期刊>European Journal of General Medicine >Portal Hypertension Due to Alveolar Echinococcosis and Recanalized Paraumbilical Vein
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Portal Hypertension Due to Alveolar Echinococcosis and Recanalized Paraumbilical Vein

机译：由于肺泡棘球co虫病和再通的脐旁静脉引起的门脉高压

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Hepatic alveolar echinococcosis is an uncommon parasitic disease caused by Echinococcus multilocularis. It carries high fatality rates and poor prognosis if not diagnosed early and managed correctly. We report a 29-year-old female patient who admitted to our clinic with fatigue, weight loss and abdominal bloating in her right upper quadrant. Physical examination revealed the presence of a large palpable mass in her right upper quadrant, ascites and bilateral pedal edema. Computed tomography revealed a large non-homogeneous mass located in the right lobe of the liver and a dilated paraumbilical vein arising from the left branch of the portal vein. Echinococcus serology assessed by enzyme-linked immunosorbent assay was noted to be positive. Histopathologic examination of the hepatic mass was consistent with alveolar echinococcosis. The patient’s complaints were determined as being related to cirrhosis due to alveolar echinococcosis. Alveolar echinococcosis must be considered in patients with portal hypertension of uncertain etiology, especially in endemic regions.
机译：肝泡棘球co虫病是由多叶棘球caused球菌引起的罕见寄生虫病。如果不及早诊断和正确处理，它会带来高死亡率和预后不良。我们报告了一名29岁的女性患者，她因右上腹疲劳，体重减轻和腹胀而入我们的诊所。体格检查发现她的右上腹有明显的肿块，腹水和双侧脚蹬水肿。计算机体层摄影术显示位于肝脏右叶的巨大非均质肿块和门静脉左分支产生的脐旁静脉扩张。通过酶联免疫吸附测定评估的棘球chin血清学呈阳性。肝肿块的组织病理学检查与肺泡棘球co病一致。该患者的主诉被确定与肺泡棘球co虫病引起的肝硬化有关。对于病因不确定的门静脉高压症患者，尤其是地方病地区，必须考虑肺泡棘球co病。

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