Subject(s)
Humans , Female , Middle Aged , Parkinsonian Disorders/chemically induced , Parkinson Disease, Secondary/chemically induced , Antiparkinson Agents/administration & dosage , Antiparkinson Agents/adverse effects , Dopamine Agonists/adverse effects , Risk Factors , Gastroscopy/methods , Dyspepsia/complications , Abdomen/pathology , Abdomen , Gastroscopy/trends , Gastroscopy , Primary Health Care/methodsABSTRACT
We have found only 3 publications in the literature that describe portal vein invasion by a hydatid cyst. This complication is very uncommon but should be kept in mind in the diagnosis of anaphylactic shock. Clinical presentation can vary from abdominal pain and fever to portal hypertension or anaphylactic reaction due to leaking of antigenic material from the cyst. Ultrasound and computed tomography scan can identify hydatid cysts and cavernomatosis, but magnetic resonance imaging shows the presence of multiple daughter vesicles replacing the lumen of the portal vein and a communication between the residual cyst and the portal vein. The treatment of choice is surgery, including removal of the cyst and local instillation of scolicide solution. In addition to surgery, administration of albendazole is recommended. Administration should begin 4 days before extirpation and should be continued for more than 4 weeks.
Subject(s)
Echinococcosis, Hepatic/complications , Portal Vein , Vascular Diseases/parasitology , Albendazole/therapeutic use , Animals , Anticestodal Agents/therapeutic use , Echinococcosis, Hepatic/diagnostic imaging , Echinococcosis, Hepatic/surgery , Echinococcus/isolation & purification , Female , Hepatectomy , Humans , Magnetic Resonance Imaging , Middle Aged , Tomography, X-Ray Computed , Treatment Outcome , Vascular Diseases/diagnostic imaging , Vascular Diseases/surgeryABSTRACT
En la bibliografía hay solamente 3 publicaciones sobre la invasión de la vena porta por quiste hidatídico. Es una complicación infrecuente que se debe tener en cuenta en el diagnóstico del shock anafiláctico. El motivo de consulta puede ser variado; desde dolor abdominal y fiebre relacionados con el quiste hasta complicaciones como la hipertensión portal por la cavernomatosis, o una reacción anafiláctica por la fuga de material antigénico del quiste. Entre las pruebas diagnósticas, la ecografía Doppler y la tomografía computarizada identifican quistes hepáticos e imágenes compatibles con cavernomatosis, pero la resonancia magnética detecta la presencia de múltiples vesículas hijas intraportales y la comunicación entre el quiste residual y la vena porta. El tratamiento de elección es la intervención quirúrgica, con extirpación del quiste e instilación de soluciones escolicidas, además de tratamiento con albendazol, comenzando 4 días antes de la extirpación y manteniéndolo durante más de 4 semanas
We have found only 3 publications in the literature that describe portal vein invasion by a hydatid cyst. This complication is very uncommon but should be kept in mind in the diagnosis of anaphylactic shock. Clinical presentation can vary from abdominal pain and fever to portal hypertension or anaphylactic reaction due to leaking of antigenic material from the cyst. Ultrasound and computed tomography scan can identify hydatid cysts and cavernomatosis, but magnetic resonance imaging shows the presence of multiple daughter vesicles replacing the lumen of the portal vein and a communication between the residual cyst and the portal vein. The treatment of choice is surgery, including removal of the cyst and local instillation of scolicide solution. In addition to surgery, administration of albendazole is recommended. Administration should begin 4 days before extirpation and should be continued for more than 4 weeks
Subject(s)
Humans , Echinococcosis, Hepatic/complications , Aortic Diseases/etiology , Fistula/etiology , Albendazole/therapeutic use , Anthelmintics/therapeutic use , Echinococcosis, Hepatic/drug therapy , Aortic Diseases/surgery , Fistula/surgeryABSTRACT
En la bibliografía hay solamente 3 publicaciones sobre la invasión de la vena porta por quiste hidatídico. Es una complicación infrecuente que se debe tener en cuenta en el diagnóstico del shock anafiláctico. El motivo de consulta puede ser variado; desde dolor abdominal y fiebre relacionados con el quiste hasta complicaciones como la hipertensión portal por la cavernomatosis, o una reacción anafiláctica por la fuga de material antigénico del quiste. Entre las pruebas diagnósticas, la ecografía Doppler y la tomografía computarizada identifican quistes hepáticos e imágenes compatibles con cavernomatosis, pero la resonancia magnética detecta la presencia de múltiples vesículas hijas intraportales y la comunicación entre el quiste residual y la vena porta. El tratamiento de elección es la intervención quirúrgica, con extirpación del quiste e instilación de soluciones escolicidas, además de tratamiento con albendazol, comenzando 4 días antes de la extirpación y manteniéndolo durante más de 4 semanas
We have found only 3 publications in the literature that describe portal vein invasion by a hydatid cyst. This complication is very uncommon but should be kept in mind in the diagnosis of anaphylactic shock. Clinical presentation can vary from abdominal pain and fever to portal hypertension or anaphylactic reaction due to leaking of antigenic material from the cyst. Ultrasound and computed tomography scan can identify hydatid cysts and cavernomatosis, but magnetic resonance imaging shows the presence of multiple daughter vesicles replacing the lumen of the portal vein and a communication between the residual cyst and the portal vein. The treatment of choice is surgery, including removal of the cyst and local instillation of scolicide solution. In addition to surgery, administration of albendazole is recommended. Administration should begin 4 days before extirpation and should be continued for more than 4 weeks
