Hepatic Parasitosis: Atypical presentation

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Benign solid liver tumors are composed by a heterogeneous group of lesions. Hepatic parasitosis is an infrequent etiological cause of benign solid liver tumors. Objective. To present the case of a patient with benign solid liver tumors treated with right portal vein embolization and, later, with hep...

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Autores principales: Procikieviez, Ignacio Oscar, Signorini, Franco, Alcaraz, Alvaro, Giordano, Enzo, Obeide, Lucio, Reimondez, Santiago
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018
Materias:
enfermedades parasitarias
embolización terapéutica
vena porta
hepatectomía
neoplasias hepaticas
parasitic diseases
therapeutic embolization
portal vein
hepatectomy
liver neoplasm
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/18432
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10-article-18432
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spelling I10-R10-article-184322019-08-20T11:39:09Z Hepatic Parasitosis: Atypical presentation Parasitosis Hepática: Presentación atípica Procikieviez, Ignacio Oscar Signorini, Franco Alcaraz, Alvaro Giordano, Enzo Obeide, Lucio Reimondez, Santiago enfermedades parasitarias embolización terapéutica vena porta hepatectomía neoplasias hepaticas parasitic diseases therapeutic embolization portal vein hepatectomy liver neoplasm Benign solid liver tumors are composed by a heterogeneous group of lesions. Hepatic parasitosis is an infrequent etiological cause of benign solid liver tumors. Objective. To present the case of a patient with benign solid liver tumors treated with right portal vein embolization and, later, with hepatectomy. Clinical case. 60-year-old, male patient diagnosed with multiple solid liver tumors, due to a generalized case of jaundice. The decision to perform surgery was made on the basis of the clinical symptoms and the impossibility of discarding malignancy through complementary tests. Before surgery, hepatic volumetry and right portal vein embolization were done to increase future hepatic remnant. Right hepatectomy and hepatic resection of segment IVa were performed. The patient evolved positively from jaundice and the anatomopathological results showed a lesion related to hepatic parasitosis. Conclusion. In the presence of a solid liver tumor, it is necessary to rule out the malignant etiology of the lesion. If this is not possible, or if the patient continues with the symptomatology, surgical resection is prescribed, taking into account the volume of the hepatic gland and future hepatic remnant. Los tumores hepáticos sólidos benignos están formados por un grupo heterogéneo de lesiones. Las parasitosis hepáticas conforman una causa etiológica poco frecuente de tumores hepáticos sólidos benignos. Objetivo. Reportar el caso de un paciente con tumores hepáticos solidos benignos tratado con embolización portal derecha y posteriormente hepatectomía. Caso clínico. Paciente de 60 años, sexo masculino,  al cual se le diagnostican múltiples tumores hepáticos sólidos, debido a cuadro de ictericia generalizada. Debido al cuadro sintomático, y al no poder descartar malignidad con las pruebas complementarias, se decide realizar cirugía. Previamente se realiza volumetría de la glándula hepática y embolización portal derecha para aumentar el remanente hepático futuro. Se realiza hepatectomía derecha y segmentectomía hepática IVa. Evoluciona con mejoría del cuadro ictérico y el resultado anatomopatológico informa lesión vinculable a parasitosis hepática.  Conclusión. Ante la presencia de un tumor hepático sólido, es necesario descartar etiología maligna de la lesión. Si no es posible descartar esto, o si el paciente persiste con sintomatología, la resección quirúrgica está indicada, teniendo en cuenta el volumen de la glándula hepática y del remanente hepático futuro. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-07-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf image/jpeg image/jpeg image/jpeg image/jpeg application/vnd.openxmlformats-officedocument.wordprocessingml.document https://revistas.unc.edu.ar/index.php/med/article/view/18432 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 75 No. 2 (2018); 134-138 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 75 Núm. 2 (2018); 134-138 Revista da Faculdade de Ciências Médicas de Córdoba; v. 75 n. 2 (2018); 134-138 1853-0605 0014-6722 10.31053/1853.0605.v75.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/18432/20620 https://revistas.unc.edu.ar/index.php/med/article/view/18432/26691 https://revistas.unc.edu.ar/index.php/med/article/view/18432/26692 https://revistas.unc.edu.ar/index.php/med/article/view/18432/26693 https://revistas.unc.edu.ar/index.php/med/article/view/18432/26694 https://revistas.unc.edu.ar/index.php/med/article/view/18432/26697 Derechos de autor 2018 Universidad Nacional de Córdoba
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic enfermedades parasitarias
embolización terapéutica
vena porta
hepatectomía
neoplasias hepaticas
parasitic diseases
therapeutic embolization
portal vein
hepatectomy
liver neoplasm
spellingShingle enfermedades parasitarias
embolización terapéutica
vena porta
hepatectomía
neoplasias hepaticas
parasitic diseases
therapeutic embolization
portal vein
hepatectomy
liver neoplasm
Procikieviez, Ignacio Oscar
Signorini, Franco
Alcaraz, Alvaro
Giordano, Enzo
Obeide, Lucio
Reimondez, Santiago
Hepatic Parasitosis: Atypical presentation
topic_facet enfermedades parasitarias
embolización terapéutica
vena porta
hepatectomía
neoplasias hepaticas
parasitic diseases
therapeutic embolization
portal vein
hepatectomy
liver neoplasm
author Procikieviez, Ignacio Oscar
Signorini, Franco
Alcaraz, Alvaro
Giordano, Enzo
Obeide, Lucio
Reimondez, Santiago
author_facet Procikieviez, Ignacio Oscar
Signorini, Franco
Alcaraz, Alvaro
Giordano, Enzo
Obeide, Lucio
Reimondez, Santiago
author_sort Procikieviez, Ignacio Oscar
title Hepatic Parasitosis: Atypical presentation
title_short Hepatic Parasitosis: Atypical presentation
title_full Hepatic Parasitosis: Atypical presentation
title_fullStr Hepatic Parasitosis: Atypical presentation
title_full_unstemmed Hepatic Parasitosis: Atypical presentation
title_sort hepatic parasitosis: atypical presentation
description Benign solid liver tumors are composed by a heterogeneous group of lesions. Hepatic parasitosis is an infrequent etiological cause of benign solid liver tumors. Objective. To present the case of a patient with benign solid liver tumors treated with right portal vein embolization and, later, with hepatectomy. Clinical case. 60-year-old, male patient diagnosed with multiple solid liver tumors, due to a generalized case of jaundice. The decision to perform surgery was made on the basis of the clinical symptoms and the impossibility of discarding malignancy through complementary tests. Before surgery, hepatic volumetry and right portal vein embolization were done to increase future hepatic remnant. Right hepatectomy and hepatic resection of segment IVa were performed. The patient evolved positively from jaundice and the anatomopathological results showed a lesion related to hepatic parasitosis. Conclusion. In the presence of a solid liver tumor, it is necessary to rule out the malignant etiology of the lesion. If this is not possible, or if the patient continues with the symptomatology, surgical resection is prescribed, taking into account the volume of the hepatic gland and future hepatic remnant.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2018
url https://revistas.unc.edu.ar/index.php/med/article/view/18432
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AT alcarazalvaro hepaticparasitosisatypicalpresentation
AT giordanoenzo hepaticparasitosisatypicalpresentation
AT obeidelucio hepaticparasitosisatypicalpresentation
AT reimondezsantiago hepaticparasitosisatypicalpresentation
AT procikieviezignaciooscar parasitosishepaticapresentacionatipica
AT signorinifranco parasitosishepaticapresentacionatipica
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AT giordanoenzo parasitosishepaticapresentacionatipica
AT obeidelucio parasitosishepaticapresentacionatipica
AT reimondezsantiago parasitosishepaticapresentacionatipica
first_indexed 2022-08-20T01:25:24Z
last_indexed 2022-08-20T01:25:24Z
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