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Hydatid Cyst Diagnosed by Endoscopic Ultrasound

dc.contributor.authorCastro-Poças, F.
dc.contributor.authorAraújo, T.
dc.contributor.authorCoelho, A.
dc.contributor.authorSilva, D.
dc.contributor.authorPedroto, I.
dc.date.accessioned2017-06-12T10:51:35Z
dc.date.available2017-06-12T10:51:35Z
dc.date.issued2016
dc.description.abstractA 69-year-old female with unremarkable past history underwent endoscopy for dyspepsia. She denied weight loss or anorexia. Upper endoscopy revealed a bulge in the lesser curvature and posterior wall of the stomach with 4-5 cm. Endoscopic ultrasound was performed which showed a heterogeneous lesion, anechogenic in the major part, with a floating membrane inside, the greatest diameter of 90.8 × 17.2 mm, originated in the left liver lobe. Surgical resection was performed. Pathologic examination revealed a cystic lesion with an acellular thick fibrous wall, surrounded by a conspicuous inflammatory reaction. The cyst wall revealed a characteristic lamellar pattern of the fibers. In the internal surface of the lesion, there were remains of membranous structures, amidst which a vestigial Protoscolex was noted. In the presented case, a floating membrane was observed, which is a pathognomonic feature, establishing the diagnosis of hydatid cyst type 3. Fine needle aspiration guided by ultrasound was not performed due to the certainty in the diagnosis. To the authors' knowledge, these are the first images by endoscopic ultrasound of hydatid cyst of liver presented as a bulge in the stomach with pathognomonic features, which allowed the definitive diagnosis with no need for further diagnostic tests.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCan J Gastroenterol Hepatol. 2016;2016:7260392pt_PT
dc.identifier.doi10.1155/2016/7260392pt_PT
dc.identifier.issn2291-2789
dc.identifier.issn2291-2797
dc.identifier.urihttp://hdl.handle.net/10400.16/2104
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherHindawi Publishing Corporationpt_PT
dc.relation.publisherversionhttps://www.hindawi.com/journals/cjgh/2016/7260392/pt_PT
dc.titleHydatid Cyst Diagnosed by Endoscopic Ultrasoundpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceCanadapt_PT
oaire.citation.startPage7260392pt_PT
oaire.citation.titleCanadian Journal of Gastroenterology and Hepatologypt_PT
oaire.citation.volume2016pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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