Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
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Case Report

Volume 4, Number 3, June 2011, pages 127-130

Hepatic Encephalopathy in Connection With Budd-Chiari Syndrome due to Infection With Echinococcus Multilocularis: A Case Report


Figure 1.
Figure 1. An abdominal CT scan demonstrated multiple hepatic masses in the right lobe of the liver, the largest of which was 12 cm in diameter, non-uniform contrast enhancement of the liver parenchyma, an enlarged caudate lobe, and hepatic and portal vein thrombosis with ascites.


Table 1. PNM System for Staging of Human Alveolar Echinococcosis
PHepatic localization of the metacestode
  PXPrimary lesion unable to be assessed
  PONo detectable hepatic lesion
  PlPeripheral lesions without biliary or proximal vascular involvement
  P2Central lesions with biliary or proximal vascular involvement of one lobe
  P3Central lesions with biliary or proximal vascular involvement of both lobes or two hepatic veins, or both
  P4Any lesion with extension along the portal vein, inferior vena cava, or hepatic arteries
NExtrahepatic involvement of neighboring organs
  NXNot evaluable
  NONo regional involvement
  N1Involvement of adjacent organs or tissues
MPresence or absence of distant metastases
  MXNot completely assessed
  MONo metastases on chest radiograph and CT brain scan
  MlMetastasis present