Microwave ablation combining surgery for the treatment of multiorgan cystic echinococcosis: A case report

Parasitol Int. 2020 Feb:74:101921. doi: 10.1016/j.parint.2019.04.018. Epub 2019 Apr 23.

Abstract

Cystic echinococcosis (CE) is a global public health problem associated with a high overall disease burden. Multiple organ systems are involved in approximately 20% of cases, and treatment is challenging and rarely reported. In this study, we described microwave ablation (MWA) combining surgery for the treatment of a multiorgan CE patient. The patient underwent percutaneous MWA for a hepatic CE3b lesion and exploratory resection of the pelvic cavity lesions. The hepatic lesion was effectively treated by MWA, and invasiveness was reduced by avoiding hepatectomy. The patient had a favorable prognosis at a 20-month's follow-up. More studies are needed to evaluate its usefulness in CE treatment.

Keywords: Cystic echinococcosis; Microwave ablation; Minimal invasive; Multiorgan.

Publication types

  • Case Reports

MeSH terms

  • Ablation Techniques*
  • Adult
  • Echinococcosis / diagnosis
  • Echinococcosis / surgery*
  • Echinococcosis / therapy*
  • Female
  • Humans
  • Liver / parasitology
  • Liver / pathology
  • Liver / radiation effects*
  • Microwaves / therapeutic use*
  • Treatment Outcome