{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T14:16:20Z","timestamp":1754144180329,"version":"3.41.2"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Cystic echinococcosis (CE) is a zoonotic illness that primarily affects the liver. Antiparasitic therapy remains the primary treatment method. Surgical intervention includes open and laparoscopic surgery, with a focus on preserving liver functionality. Data from complicated CE cases, confirmed surgically, were retrieved and presented. Six patients were included: two had a history of CE (one underwent puncture, aspiration, injection, re-aspiration [PAIR], and the other underwent right hemi-hepatectomy). Among the cases, two presented with obstructive jaundice, three had exophytic lesions, one had a large, calcified lesion, one exerted a mass effect on the intrahepatic inferior vena cava (IVC), one showed subcapsular extension, and the sixth case involved a large cyst that regressed with albendazole. In conclusion, although surgery remains the primary treatment for complicated hepatic CE, PAIR is preferred for uncomplicated cases. However, surgical challenges may be greater after PAIR.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf519","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T09:43:21Z","timestamp":1752572601000},"source":"Crossref","is-referenced-by-count":0,"title":["Different scenarios and management of complicated hepatic cystic echinococcosis: a case series"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7201-2655","authenticated-orcid":false,"given":"Thamer","family":"Alghamdi","sequence":"first","affiliation":[{"name":"Department of Surgery, Al Baha University Faculty of Medicine , Al-Aquiq, District 7, Al-Aqiq 65731-2588, Al Baha ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3207-7486","authenticated-orcid":false,"given":"Ramy","family":"Agwa","sequence":"additional","affiliation":[{"name":"Hepatology and Gastroenterology Unit , Internal Medicine Department, Mansoura University Faculty of Medicine, El-Gomhoria Street, Mansoura University, Dakahlia Governorate, Mansoura 35516,","place":["Egypt"]},{"name":"Department of Internal Medicine, Al Baha University Faculty of Medicine , Al-Aquiq, District 7, Al-Aqiq 65731-2588, Al Baha ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6249-8096","authenticated-orcid":false,"given":"Fahad","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"Department of Surgery, King Fahad Hospital , King Fahd Road, District 7, Al Baha 65732, Al Baha ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8585-3189","authenticated-orcid":false,"given":"Ahmed","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Department of Radiology, King Fahad Hospital , King Fahd Road, District 7, Al Baha 65732, Al Baha ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9651-0416","authenticated-orcid":false,"given":"Warda","family":"Othman","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Al Baha University Faculty of Medicine , Al-Aquiq, District 7, Al-Aqiq 65731-2588, Al Baha ,","place":["Saudi Arabia"]},{"name":"Hepatology and Gastroenterology Unit, Internal Medicine Department, Menoufia University Faculty of Medicine , Gamal Abdel Nasser Street (University Road), Shebin El Kom 32511, Menoufia Governorate,","place":["Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"key":"2025071505431586500_ref1"},{"key":"2025071505431586500_ref2"},{"key":"2025071505431586500_ref3","doi-asserted-by":"publisher","DOI":"10.5772\/3020","volume-title":"Abdominal Surgery","author":"Derbel","year":"2012"},{"key":"2025071505431586500_ref4","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1055\/s-2006-927232","article-title":"Ultrasound wall-sign in pulmonary echinococcosis (new application)","volume":"27","author":"El Fortia","year":"2006","journal-title":"Ultraschall Med"},{"key":"2025071505431586500_ref5"},{"key":"2025071505431586500_ref6"},{"key":"2025071505431586500_ref7","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.amsu.2018.10.032","article-title":"Hepatic echinococcosis: a review","volume":"36","author":"Bhutani","year":"2018","journal-title":"Ann Medicine Surg"},{"key":"2025071505431586500_ref8","doi-asserted-by":"publisher","first-page":"628","DOI":"10.4269\/ajtmh.19-0019","article-title":"Complications associated with initial clinical presentation of cystic echinococcosis: a 20-year cohort analysis","volume":"101","author":"Collado-Aliaga","year":"2019","journal-title":"Am J Trop Med Hyg"},{"key":"2025071505431586500_ref9","doi-asserted-by":"publisher","first-page":"35","DOI":"10.17235\/reed.2021.7896\/2021","article-title":"A review of the diagnosis and management of liver hydatid cyst","volume":"114","author":"Ferrer Inaebnit","year":"2022","journal-title":"Rev Esp Enferm Dig"},{"key":"2025071505431586500_ref10","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.4254\/wjh.v8.i28.1169","article-title":"Current status of diagnosis and treatment of hepatic echinococcosis","volume":"8","author":"Mihmanli","year":"2016","journal-title":"World J Hepatol"},{"volume-title":"Blumgart\u2019s Surgery of the Liver, Biliary Tract and Pancreas","key":"2025071505431586500_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-34062-5.00074-1"},{"key":"2025071505431586500_ref12","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1111\/j.1478-3231.2009.02116.x","article-title":"Surgical management of liver hydatidosis: a multicentre series of 1412 patients","volume":"30","author":"Secchi","year":"2010","journal-title":"Liver Int"},{"key":"2025071505431586500_ref13","doi-asserted-by":"publisher","first-page":"284","DOI":"10.5114\/aoms.2018.73344","article-title":"A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures","volume":"15","author":"Sokouti","year":"2019","journal-title":"Arch Med Sci"},{"key":"2025071505431586500_ref14","doi-asserted-by":"publisher","first-page":"1328","DOI":"10.1038\/ajg.2014.213","article-title":"ACG clinical guideline: the diagnosis and management of focal liver lesions","volume":"109","author":"Marrero","year":"2014","journal-title":"Am J Gastroenterol"},{"key":"2025071505431586500_ref15","doi-asserted-by":"publisher","first-page":"158","DOI":"10.33808\/clinexphealthsci.708408","article-title":"Incidence of cystic echinococcosis in the East Azerbaijan, Iran, during 2011\u20132017: a retrospective epidemiological study","volume":"11","author":"Ahrabi","year":"2021","journal-title":"Clin Exp Health Sci"},{"key":"2025071505431586500_ref16","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1111\/zph.13017","article-title":"Increased prevalence of canine echinococcosis a decade after the discontinuation of a governmental deworming program in tierra del Fuego","volume":"70","author":"Eisenman","year":"2023","journal-title":"Southern Chile Zoonoses Public Health"},{"key":"2025071505431586500_ref17","doi-asserted-by":"publisher","first-page":"124","DOI":"10.3748\/wjg.v21.i1.124","article-title":"Review of the treatment of liver hydatid cysts","volume":"21","author":"Gomez","year":"2015","journal-title":"World J Gastroenterol"},{"key":"2025071505431586500_ref18","doi-asserted-by":"publisher","first-page":"87","DOI":"10.47176\/mjiri.37.87","article-title":"Evaluation of hydatid cyst antigen for serological diagnosis","volume":"37","author":"Maleki","year":"2023","journal-title":"Med J Islam Repub Iran"},{"key":"2025071505431586500_ref19","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.2214\/AJR.07.2251","article-title":"Diffusion-weighted imaging in the differential diagnosis of simple and hydatid cysts of the liver","volume":"189","author":"Inan","year":"2007","journal-title":"AJR Am J Roentgenol"},{"key":"2025071505431586500_ref20","doi-asserted-by":"publisher","first-page":"395","DOI":"10.4132\/KoreanJPathol.2013.47.4.395","article-title":"Fine needle aspiration cytology of hepatic hydatid cyst: a case study","volume":"47","author":"Kim","year":"2013","journal-title":"Korean J Pathol"},{"key":"2025071505431586500_ref21","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1016\/S1473-3099(18)30221-4","article-title":"Prevalence of abdominal cystic echinococcosis in rural Bulgaria, Romania, and Turkey: a cross-sectional, ultrasound-based, population study from the HERACLES project","volume":"18","author":"Tamarozzi","year":"2018","journal-title":"Lancet Infect Dis"},{"key":"2025071505431586500_ref22","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.5152\/eurasianjmed.2022.22309","article-title":"Anatomical-based imaging of cystic echinococcosis and review of the current literature","volume":"54","author":"Yesilyurt","year":"2022","journal-title":"Eurasian J Med"},{"volume":"98","journal-title":"Medicine (Baltimore)","key":"2025071505431586500_ref23","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000013731"},{"key":"2025071505431586500_ref24","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1007\/s00423-023-03043-8","article-title":"Comparative analysis of surgical management approaches for hydatid liver cysts: conventional vs. minimally invasive techniques","volume":"408","author":"Elmoghazy","year":"2023","journal-title":"Langenbecks Arch Surg"},{"key":"2025071505431586500_ref25","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1089\/sur.2020.197","article-title":"Pulmonary echinococcosis or lung Hydatidosis: a narrative review","volume":"22","author":"Lupia","year":"2021","journal-title":"Surg Infect (Larchmt)"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf519\/63763994\/rjaf519.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/7\/rjaf519\/63763994\/rjaf519.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T09:43:22Z","timestamp":1752572602000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf519\/8202503"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf519","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,7]]},"article-number":"rjaf519"}}