Hepatectomy Following Portal Vein Embolization in Transplant Candidate with Alveolar Echinococcosis

EREN S., Altinok S. N., Ozturk G., AYDIN Y.

Indian Journal of Surgery, 2026 (SCI-Expanded, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1007/s12262-026-04586-y
  • Dergi Adı: Indian Journal of Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL
  • Anahtar Kelimeler: Alveolar echinococcosis, Hepatectomy, Liver transplantation, Portal vein embolization
  • Atatürk Üniversitesi Adresli: Evet

Özet

Alveolar echinococcosis (AE), caused by Echinococcus alveolaris, exhibits infiltrative and metastatic behavior similar to malignant liver tumors. In cases confined to one lobe, resection may be feasible without transplantation if adequate residual liver remains. This report presents a 26-year-old female with three AE lesions in the right hepatic lobe who underwent right portal vein embolization (PVE) to induce left lobe hypertrophy before hepatectomy. Two months post-PVE, left lobe volume increased from 358 cm³ to 606 cm³, while the right lobe decreased accordingly. Following right hepatectomy, a 46-month uneventful follow-up confirmed no recurrence or complications. This case supports PVE as a safe and effective strategy to optimize liver function and expand resectability in AE.