Liver transplantation for neotropical polycystic echinococcosis caused by Echinococcus vogeli: a case report

Neotropical polycystic echinococcosis (NPE) is a parasitic disease caused by cestodes of Echinococcus vogeli. This parasite grows most commonly in the liver, where it produces multiples cysts that cause hepatic and vessel necrosis, infects the biliary ducts, and disseminates into the peritoneal cavity, spreading to other abdominal and thoracic organs. In cases of disseminated disease in the liver and involvement of biliary ducts or portal system, liver transplantation may be a favorable option. We present a report of the first case of liver transplantation for the treatment of advanced liver NPE caused by E. vogeli.

新热带区多囊泡棘球蚴病（Neotropical polycystic echinococcosis, NPE）是由福氏棘球绦虫（Echinococcus vogeli）引发的寄生虫病。该寄生虫最常寄生于肝脏，可形成多发性囊肿，造成肝脏及血管坏死，侵袭胆管，并播散至腹膜腔，进而累及其他腹腔与胸腔脏器。对于存在肝脏播散性病变且累及胆管或门脉系统的病例，肝移植或是一项适宜的治疗选择。本文报告了首例采用肝移植治疗福氏棘球绦虫所致晚期肝脏NPE的病例。