Case Report: Role of Interventional Radiology in the Management of Patients with Alveolar Echinococcus: Successful Management of Three Cases

Merve Gulbiz Dagoglu-Kartal Department of Radiology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey;

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Turkmen Ciftci Department of Radiology, School of Medicine, Hacettepe University, Ankara, Turkey;

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Cigdem Ozer Numune Training and Research Hospital Radiology Clinic, Ankara, Turkey

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Devrim Akinci Department of Radiology, School of Medicine, Hacettepe University, Ankara, Turkey;

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Okan Akhan Department of Radiology, School of Medicine, Hacettepe University, Ankara, Turkey;

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Alveolar echinococcus (AE) is an infestation by Echinococcus multilocularis. Partial hepatectomy or liver transplantation is the first choice of treatment. However, the disease is usually diagnosed at an unresectable stage. In those cases, invasion of the bile ducts and vessels, and necrosis in the center of the lesion lead to severe complications, such as cholangitis and liver abscesses. Palliative surgery has been reported to not offer advantages in management, and percutaneous and endoscopic interventions have become more prominent in management. In this case series, outcomes in three cases with unresectable AE were reported. In one of the cases, interventional procedures were used to manage the complications after surgery. In the second case, the cystic component was aspirated to decrease the size before the surgery and in the third case, it was used to drain biliary tree and no surgery was done.

Author Notes

Address correspondence to Okan Akhan, Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey. E-mails: oakhan@hacettepe.edu.tr

Authors’ addresses: Merve Gulbiz Dagoglu-Kartal, Department of Radiology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey, E-mail: drmgkartal@gmail.com. Turkmen Ciftci, Devrim Akinci, and Okan Akhan, Department of Radiology, School of Medicine, Hacettepe University, Ankara, Turkey, E-mails: turkmenciftci@yahoo.com, akincid@hotmail.com , and oakhan@hacettepe.edu.tr. Cigdem Ozer, Numune Training and Research Hospital Radiology Clinic, Ankara, Turkey, E-mail: ozercigdem@gmail.com.

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