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A young woman from an Echinococcus-endemic area with progressive abdominal distension: a case report.
J Med Case Rep. 2020 Jun 08; 14(1):65.JM

Abstract

BACKGROUND

Cystic echinococcosis is a zoonotic infection caused by Echinococcus granulosus. This case report shows the difficulty in differential diagnosis in a patient with highly suspected hydatid disease.

CASE PRESENTATION

A 29-year-old Chinese woman presented with progressive abdominal distension. Imaging results revealed a large multicystic tumor with typical features of hydatid disease. There was no clear relationship between the cystic tumor and the liver, which led to the assumption of primary extrahepatic cystic echinococcosis. After albendazole therapy was initiated, a laparotomy was performed and a huge ovarian cystadenoma was diagnosed.

CONCLUSIONS

This case highlights the possible challenges of differential diagnosis in patients with suspicion of hydatid cysts.

Authors+Show Affiliations

Divison of Hepatology, Clinic of Gastroenterology, Hepatology, Infectious Diseases and Pneumology, University Hospital Leipzig, Liebigstraβe 20, 04103, Leipzig, Germany. Albrecht.Boehlig@medizin.uni-leipzig.de.Clinic of Gastroenterology, Hepatology, Infectious Diseases and Pneumology, University Hospital Leipzig, Leipzig, Germany. Integrated Research and Treatment Center AdiposityDiseases Leipzig, Faculty of Medicine, University of Leipzig, Leipzig, Germany.Clinic of Gastroenterology, Hepatology, Infectious Diseases and Pneumology, University Hospital Leipzig, Leipzig, Germany.Division of Infectiology and Tropical Medicine, Clinic of Gastroenterology, Hepatology, Infectious Diseases and Pneumology, University Hospital Leipzig, Leipzig, Germany.Divison of Hepatobiliary and Transplant Surgery, Department of Visceral, Transplant, Thorax and Vascular Surgery, University Hospital Leipzig, Leipzig, Germany.Divison of Hepatobiliary and Transplant Surgery, Department of Visceral, Transplant, Thorax and Vascular Surgery, University Hospital Leipzig, Leipzig, Germany.Divison of Hepatology, Clinic of Gastroenterology, Hepatology, Infectious Diseases and Pneumology, University Hospital Leipzig, Liebigstraβe 20, 04103, Leipzig, Germany. Thomas.Berg@medizin.uni-leipzig.de.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32507106

Citation

Boehlig, Albrecht, et al. "A Young Woman From an Echinococcus-endemic Area With Progressive Abdominal Distension: a Case Report." Journal of Medical Case Reports, vol. 14, no. 1, 2020, p. 65.
Boehlig A, Blank V, Karlas T, et al. A young woman from an Echinococcus-endemic area with progressive abdominal distension: a case report. J Med Case Rep. 2020;14(1):65.
Boehlig, A., Blank, V., Karlas, T., Trawinski, H., Hau, H. M., Lederer, A. A., & Berg, T. (2020). A young woman from an Echinococcus-endemic area with progressive abdominal distension: a case report. Journal of Medical Case Reports, 14(1), 65. https://doi.org/10.1186/s13256-020-02388-8
Boehlig A, et al. A Young Woman From an Echinococcus-endemic Area With Progressive Abdominal Distension: a Case Report. J Med Case Rep. 2020 Jun 8;14(1):65. PubMed PMID: 32507106.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A young woman from an Echinococcus-endemic area with progressive abdominal distension: a case report. AU - Boehlig,Albrecht, AU - Blank,Valentin, AU - Karlas,Thomas, AU - Trawinski,Henning, AU - Hau,Hans-Michael, AU - Lederer,Andri Arnosson, AU - Berg,Thomas, Y1 - 2020/06/08/ PY - 2019/11/13/received PY - 2020/04/28/accepted PY - 2020/6/9/entrez PY - 2020/6/9/pubmed PY - 2020/6/9/medline KW - Case report KW - Cystic tumor KW - Echinococcusgranulosus KW - Hydatid disease KW - Ovarian cystadenoma SP - 65 EP - 65 JF - Journal of medical case reports JO - J Med Case Rep VL - 14 IS - 1 N2 - BACKGROUND: Cystic echinococcosis is a zoonotic infection caused by Echinococcus granulosus. This case report shows the difficulty in differential diagnosis in a patient with highly suspected hydatid disease. CASE PRESENTATION: A 29-year-old Chinese woman presented with progressive abdominal distension. Imaging results revealed a large multicystic tumor with typical features of hydatid disease. There was no clear relationship between the cystic tumor and the liver, which led to the assumption of primary extrahepatic cystic echinococcosis. After albendazole therapy was initiated, a laparotomy was performed and a huge ovarian cystadenoma was diagnosed. CONCLUSIONS: This case highlights the possible challenges of differential diagnosis in patients with suspicion of hydatid cysts. SN - 1752-1947 UR - https://www.unboundmedicine.com/medline/citation/32507106/A_young_woman_from_an_Echinococcus-endemic_area_with_progressive_abdominal_distension:_a_case_report L2 - https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-020-02388-8 DB - PRIME DP - Unbound Medicine ER -
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