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Postoperative Alveolar Hydatid Disease with Cutaneous‐Subcutaneous Involvement
Author(s) -
Ambo Midori,
Adachi Kouichi,
Ohkawara Akira
Publication year - 1999
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.1999.tb03485.x
Subject(s) - medicine , subcutaneous tissue , dermis , subcutaneous fat , alveolar echinococcosis , abdomen , disease , pathology , surgery , echinococcosis , adipose tissue
The first Japanese case of alveolar hydatid disease with cutaneous‐subcutaneous lesions is reported. The patient, a 58‐year‐old man who developed an indurated subcutaneous tumor on the right side of the abdomen, had had partial hepatectomy of the right lobe for echinococcosis thirteen years earlier. Clinically, the tumor was adherent with a fistulosis communication to deeper structures. Histopathologically, multiple PAS‐positive cuticular layers with foreign body granulomas and fibrosis were observed between the dermis and subcutaneous fatty tissue. Surgical excision of the swelling provided the patient with temporary relief. To our knowledge, only eight cases of subcutaneous alveolar hydatid disease have been reported throughout the world. Ours, the ninth case, highlights the importance and difficulty of treating of alveolar hydatid disease.