Left trisectionectomy and supra-hepatic caval reconstruction with vascular prosthesis for chronic Budd-Chiari syndrome caused by hepatic alveolar echinococcosis

摘要

Hepatic alveolar echinococcosis (AE) is a lethal infectious disease caused by the larval stage and exhibits low prevalence in endemic areas with high morbidity and mortality. AE lesions invading the hepato-caval confluence, including main hepatic veins and retro-hepatic inferior vena cava (IVC), may result in Budd-Chiari Syndrome (BCS), which was a severe complication of AE presented with abdominal pain, ascites, and hepatomegaly. In this study, we reported a case of chronic BCS caused by hepatic AE and summarized the therapeutic method of left trisectionectomy and supra-hepatic IVC replacement with prosthetic grafts.