Taxifulati N, Yang XA, Zhang XF, Aini A, Abulizi A, Ma X, Abulati A, Wang F, Xu K, Aji T, Shao YM, Ahan A. Multiple recurrent cystic echinococcosis with abdominal aortic involvement: A case report. World J Clin Cases 2020; 8(14): 3108-3113 [PMID: 32775393 DOI: 10.12998/wjcc.v8.i14.3108]
Corresponding Author of This Article
Ayifuhan Ahan, MAMS, Doctor, Department of Hepatobiliary and Hydatid Disease, Digestive and Vascular Center, First Affiliated Hospital of Xinjiang Medical University, No. 137, South Liyushan Road, Urumqi 830001, Xinjiang Uygur Autonomous Region, China. akejan@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Nijiati Taxifulati, Xue-An Yang, Xin-Feng Zhang, Abudusalamu Aini, Abuduaini Abulizi, Adilai Abulati, Fei Wang, Ke Xu, Tuerganaili Aji, Ying-Mei Shao, Ayifuhan Ahan, Department of Hepatobiliary and Hydatid Disease, Digestive and Vascular Center, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
Xin Ma, Department of Pain Management, People’s Hospital of Xinjiang Uyghur Autonomous Region, Urumqi 830001, Xinjiang Uygur Autonomous Region, China
Author contributions: Taxifulati N and Yang XA contributed equally to this study; Taxifulati N and Yang XA collected all relevant data and drafted the manuscript; Aini A performed the literature research and contributed to manuscript revision; Zhang XF and Ahan A performed the surgical and vascular interventional procedures with the help of Abulizi A and Ma X; Abulaiti A, Wang F and Xu K participated in collecting clinical data; Aji T and Shao YM critically revised the manuscript; Ahan A conceived the study design, interpreted all data, and revised the manuscript in depth; all authors have read and approved the final version of this manuscript for publication.
Supported bythe National Natural Science Foundation of China, No. 81660108.
Informed consent statement: Written informed and signed consent was obtained from the participant for publication.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ayifuhan Ahan, MAMS, Doctor, Department of Hepatobiliary and Hydatid Disease, Digestive and Vascular Center, First Affiliated Hospital of Xinjiang Medical University, No. 137, South Liyushan Road, Urumqi 830001, Xinjiang Uygur Autonomous Region, China. akejan@126.com
Received: March 16, 2020 Peer-review started: March 16, 2020 First decision: April 22, 2020 Revised: June 11, 2020 Accepted: June 18, 2020 Article in press: June 18, 2020 Published online: July 26, 2020 Processing time: 128 Days and 4.5 Hours
Abstract
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. Post-interventional 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.
Core tip: Cystic echinococcosis (CE) is a zoonotic disease caused by Echinococcus granulosis, which is globally distributed. Recurrent lesions, multiple organ involvement and vital organ involvement are considered challenging for clinicians. Herein, we report a case of aortic involvement in recurrent retroperitoneal CE lesions following primary splenic CE resection. This case highlights that primary surgery of CE should be carefully performed to prevent recurrence. Furthermore, surgical 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.
