title: Advanced alveolar echinococcosis disease associated with Budd-Chiari syndrome.
abstract: BACKGROUND
  Alveolar echinococceal disease of the liver is rare. Echinococcus multilocularis is responsible for the development of the related clinical conditions. Advanced disease may result with serious complications such as end stage liver disease and Budd-Chiari syndrome.
  
  
  METHODS
  In this presentation, a 28 years-old woman who was a case with advanced alveolar echinococcosis complicated with a Budd-Chiari syndrome and was performed successful living donor liver transplantation, has been demonstrated with clinical and radiological images.
  
  
  CONCLUSIONS
  Initially there may be no clinical evidence of the disease in humans for years. Severity and fatality are the significant characteristics of the natural history. Extension to the surrounding tissues and metastasis of the parasitic mass may be observed. Prevention is essential in disease control. Serologic assay may identify the parasite. However, early diagnosis is rare. Staging is based on radiologic imaging. Some patients with advanced disease may require surgery. Hepatic resection and liver transplantation are accepted procedures in selected patients.
  
  
  CONCLUSIONS
  The importance of early diagnosis to prevent advanced complications such as development of Budd-Chiari syndrome and metastasis has been underlined.
authors.affiliation: Inonu University, Faculty of Medicine, Department of General Surgery, Malatya, Turkey. Electronic address: hvuralsoyer@yahoo.com.
authors.forename: Vural
authors.initials: V
authors.lastname: Soyer
authors.affiliation: Inonu University, Faculty of Medicine, Department of General Surgery, Malatya, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Ara
authors.affiliation: Dumlupınar University, Faculty of Medicine, Department of General Surgery, Kutahya, Turkey.
authors.forename: Faik
authors.initials: F
authors.lastname: Yaylak
authors.affiliation: Inonu University, Faculty of Medicine, Department of General Surgery, Malatya, Turkey.
authors.forename: Barış
authors.initials: B
authors.lastname: Sarıcı
authors.affiliation: Afyon Kocatepe University, Faculty of Medicine, Department of General Surgery, Afyon, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ozsoy
authors.affiliation: Diyarbakir Research and Training Hospital, Diyarbakir, Turkey.
authors.forename: Okay
authors.initials: O
authors.lastname: Koç
authors.affiliation: Inonu University, Faculty of Medicine, Department of General Surgery, Malatya, Turkey.
authors.forename: Sezai
authors.initials: S
authors.lastname: Yılmaz
keywords: Alveolar echinococceal disease; Budd–Chiari syndrome; Clinical imaging; Computed tomography; Living donor liver transplantation