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Magzumova S, Isroilov U, Djuraeva N, Khaybullina Z, Amirkhamzaev A, Vakhidova N, Abdukhalimova K, Sultanov A, Abdullaev B. Computed tomography angiography of liver alveococcosis: a case report. J Med Case Rep 2024; 18:100. [PMID: 38462632 PMCID: PMC10926632 DOI: 10.1186/s13256-024-04399-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 01/19/2024] [Indexed: 03/12/2024] Open
Abstract
BACKGROUND Alveococcosis, helminthiasis caused by the larvae of Alveococcus multilocularis, is characterized by the formation of parasitic nodes in the liver. This clinical case is a rare occurrence of liver alveococcosis in Uzbekistan. CASE PRESENTATION We present a case of a 33-year-old Asian woman from Uzbekistan who complained of discomfort in the epigastric region and right hypochondrium, along with general weakness. She had been experiencing symptoms for 5 months when a routine ultrasound examination revealed a structural formation in the liver. Patient was investigated by using contrast enhanced computed tomography (CT) and diagnosed with liver alveococcosis with multiple lesions. Patient underwent diagnostic laparotomy with obtaining gross specimen, biomaterial was examined microscopically and found that there were small fragments of fibrous tissue determined together with small groups of cystic formations and walls consisted of chitin. Moreover, contrast enhanced CT allowed us to differentiate liver alveococcosis from cavernous hemangioma, hepatocellular carcinoma, and liver metastases from unknown source. CONCLUSION Contrast enhanced CT plays a major role in differentially diagnosing liver alveococcosis and makes it the first line method of choice for the consideration of the future treatment and surgical interventions.
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Affiliation(s)
- Saodatkhon Magzumova
- Department of Radiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan.
| | - Umidjon Isroilov
- Department of Radiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan
| | - Nigora Djuraeva
- Department of Radiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan.
| | - Zarina Khaybullina
- Department of Biochemistry and Microbiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan
| | - Aybek Amirkhamzaev
- Department of Radiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan
| | - Nargiza Vakhidova
- Department of Radiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan
| | - Khanum Abdukhalimova
- Department of Radiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan
| | - Alisher Sultanov
- Department of Radiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan
| | - Bekhzod Abdullaev
- Department of Radiology, National Specialized Scientific and Practical Medical Center for Surgery Named After Academician V.Vakhidov, Kichik Khalqa Yuli 10/1, 100115, Tashkent, Uzbekistan
- Research Department of Biotechnology, New Uzbekistan University, Movarounnahr 1, 100007, Tashkent, Uzbekistan
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