A complex case of liver echinococcosis after coronavirus infection

The problem of echinococcosis incidence among the population of different countries still remains a pressing issue and is the subject of consideration at international congresses and conferences. The article presents a unique clinical case of multiple localization of giant echinococcal cysts. Two multi-chamber cysts were located in the liver, a giant cyst measuring 15*18*18 cm filled the entire left lobe of the liver, the second cyst measuring 10 cm in diameter was located in the projection of segments 6-7 of the right lobe of the liver, and the patient also had a cyst in the lower segments of the left lung. Of additional interest is the fact that the first clinical signs of echinococcosis appeared in the patient after a coronavirus infection. In this regard, the article considered the pathogenetic features of coronavirus infection and echinococcosis, as well as the course of the disease when they are combined. Based on the results of a comprehensive examination, it was decided to carry out a 2-stage treatment for the patient. First of all, due to the presence of clinical indications from the digestive system, to excise the liver cysts. Then, after the patient’s rehabilitation, proceed to the second stage of treatment: excision of the lung cyst in the thoracic surgery department. The patient underwent left-sided hemihepatectomy, resection of liver segments with a reconstructive-plastic component, cholecystectomy, external drainage of the bile ducts according to Kehr. The postoperative period was uneventful. The patient was discharged from the surgical department with an appointment for planned hospitalization in the thoracic surgery department for the 2nd stage of treatment.