Hepatic alveolar echinococcosis

Case contributed by Mariam Piloyan
Diagnosis certain

Presentation

Abdominal pain

Patient Data

Age: 40 years
Gender: Female
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
Show annotations
Download
Info

There is a large necrotic mass with irregular margins measuring 13.0 x 11.0 x 14.0 cm, with diffuse involvement of the right liver lobe. In the venous phase, there is no accumulation of contrast agent.

There are no calcifications and no extension into the hepatic portal vein.

Intraoperative photo

pathology
Download
Info

After surgery, histology confirms the diagnosis - hepatic alveolar echinococcosis.

Case Discussion

Hepatic alveolar echinococcosis is a very rare but aggressive and invasive form of hepatic hydatid disease caused by Echinococcus multilocularis. It presents with a wide variety of CT morphological manifestations. In this case, it shows infiltrative growth into the liver parenchyma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.