Although alveolar
echinococcosis (AE) can cause a serious
disease with high
mortality and
morbidity similar to malign
neoplasms. A 62-year-old
woman admitted to a
hospital located in Sivas,
Turkey, with the complaints of
fatigue and right upper
abdominal pain. On contrast abdominal CT, a 54x70x45 mm sized cystic lesion was detected in the left lobe of the
liver that was seen to extend to the posterior
mediastinum and invade the
diaphragm,
esophagus, and
pericardium. The cystic lesion was seen to be occluding the
inferior vena cava and left
hepatic vein at the level where the
hepatic veins poured into the
inferior vena cava. Bilateral
pleural effusion was also detected. We discussed this
secondary Budd-Chiari Syndrome (BCS) case, resulting from the AE occlusion of the left
hepatic vein and
inferior vena cava, in
light of the information in
literature.