Hepatic alveolar echinococcosis with chest wall metastasis: a case report
Alveolar echinococcosis (AE), a zoonotic parasitic disease caused by Echinococcus multilocularis infection, predominantly colonizes the liver and may metastasize to the lungs or brain in advanced stages. Involvement of extrapulmonary sites such as the chest wall or subcutaneous tissues is exceedingl...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1538839/full |
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| author | Meng-Zhao Xu Fei Ke Jin-Ping Chai Ji-De A Lin-Xun Liu |
| author_facet | Meng-Zhao Xu Fei Ke Jin-Ping Chai Ji-De A Lin-Xun Liu |
| author_sort | Meng-Zhao Xu |
| collection | DOAJ |
| description | Alveolar echinococcosis (AE), a zoonotic parasitic disease caused by Echinococcus multilocularis infection, predominantly colonizes the liver and may metastasize to the lungs or brain in advanced stages. Involvement of extrapulmonary sites such as the chest wall or subcutaneous tissues is exceedingly rare, even in endemic regions. The nonspecific clinical manifestations and imaging features of chest wall AE pose diagnostic challenges, necessitating histopathological confirmation. We present a case of a 48-year-old female admitted with a chief complaint of a right supra-mammary mass persisting for over 1 year. Imaging studies revealed a cystic lesion in the right chest wall and a hypodense hepatic lesion in the right lobe, suggestive of hydatid disease. The patient underwent combined hepatic segmentectomy and chest wall mass resection under general anesthesia. Histopathological examination confirmed AE infection in both hepatic and anterior chest wall specimens. The patient achieved complete recovery with no postoperative complications and was discharged uneventfully. Regular oral albendazole therapy has been maintained for 6 months postoperatively, with no recurrence to date. |
| format | Article |
| id | doaj-art-92e2dcd63b8e451b8d84f24ce71c670c |
| institution | OA Journals |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-92e2dcd63b8e451b8d84f24ce71c670c2025-08-20T02:26:36ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-04-011210.3389/fmed.2025.15388391538839Hepatic alveolar echinococcosis with chest wall metastasis: a case reportMeng-Zhao Xu0Fei Ke1Jin-Ping Chai2Ji-De A3Lin-Xun Liu4The Graduate School, Qinghai University, Xining, ChinaThe Graduate School, Qinghai University, Xining, ChinaDepartment of Internal Medicine-Cardiovascular, Qinghai Provincial People’s Hospital, Xining, ChinaDepartment of Hepatic Hydatidosis, Qinghai Provincial People’s Hospital, Xining, ChinaDepartment of General Surgery, Qinghai Provincial People’s Hospital, Xining, ChinaAlveolar echinococcosis (AE), a zoonotic parasitic disease caused by Echinococcus multilocularis infection, predominantly colonizes the liver and may metastasize to the lungs or brain in advanced stages. Involvement of extrapulmonary sites such as the chest wall or subcutaneous tissues is exceedingly rare, even in endemic regions. The nonspecific clinical manifestations and imaging features of chest wall AE pose diagnostic challenges, necessitating histopathological confirmation. We present a case of a 48-year-old female admitted with a chief complaint of a right supra-mammary mass persisting for over 1 year. Imaging studies revealed a cystic lesion in the right chest wall and a hypodense hepatic lesion in the right lobe, suggestive of hydatid disease. The patient underwent combined hepatic segmentectomy and chest wall mass resection under general anesthesia. Histopathological examination confirmed AE infection in both hepatic and anterior chest wall specimens. The patient achieved complete recovery with no postoperative complications and was discharged uneventfully. Regular oral albendazole therapy has been maintained for 6 months postoperatively, with no recurrence to date.https://www.frontiersin.org/articles/10.3389/fmed.2025.1538839/fullalveolar echinococcosisliverchest wallsurgical treatmentcase report |
| spellingShingle | Meng-Zhao Xu Fei Ke Jin-Ping Chai Ji-De A Lin-Xun Liu Hepatic alveolar echinococcosis with chest wall metastasis: a case report Frontiers in Medicine alveolar echinococcosis liver chest wall surgical treatment case report |
| title | Hepatic alveolar echinococcosis with chest wall metastasis: a case report |
| title_full | Hepatic alveolar echinococcosis with chest wall metastasis: a case report |
| title_fullStr | Hepatic alveolar echinococcosis with chest wall metastasis: a case report |
| title_full_unstemmed | Hepatic alveolar echinococcosis with chest wall metastasis: a case report |
| title_short | Hepatic alveolar echinococcosis with chest wall metastasis: a case report |
| title_sort | hepatic alveolar echinococcosis with chest wall metastasis a case report |
| topic | alveolar echinococcosis liver chest wall surgical treatment case report |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1538839/full |
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