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Multiple recurrent cystic echinococcosis with abdominal aortic involvement: A case report
Nijiati Taxifulati1, Xue-An Yang1, Xin-Feng Zhang1
1Department of Hepatobiliary and Hydatid Disease, Digestive and Vascular Center, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China.
Recurrent cystic echinococcosis (CE) involving the aorta presents significant surgical challenges. Careful planning and execution of radical resection are crucial for successful outcomes in these complex cases.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Infectious Diseases
Background:
- Recurrent cystic echinococcosis (CE) with vital organ involvement poses clinical difficulties.
- This case highlights aortic involvement in recurrent retroperitoneal CE after splenic resection.
Observation:
- A 60-year-old male presented with abdominal pain and poor appetite.
- Preoperative evaluation revealed recurrent CE with abdominal aortic involvement.
- Emergency hemostasis was required due to major aortic bleeding during cyst dissection.
Findings:
- Surgical resection of recurrent CE with aortic adherence was performed.
- Post-interventional recovery was uneventful.
- Two-year follow-up confirmed no recurrence or complications.
Implications:
- Radical resection of recurrent CE with aortic involvement demands meticulous surgical planning.
- Preventing severe complications is key to improving postoperative outcomes in such cases.
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