Evidence map›Paper›PMID 42570184›Full record

ReviewClinical journal of gastroenterology2026

Portal vein invasion and cavernous transformation secondary to hepatic echinococcosis successfully managed by TIPS: a case report and literature review.

Bao Yingjun, Zhang Yuan, Zhu Diwen, Gu Junpeng, Ren Weixin

Abstract readCase ReportsReview
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In one paragraph

Review in Clinical journal of gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bao YingjunInterventional Radiology Department, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Zhang YuanDepartment of Ultrasound Diagnosis, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Zhu DiwenInterventional Radiology Department, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Gu JunpengInterventional Radiology Department, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Ren WeixinInterventional Radiology Department, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. rwx1031@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHydatid disease is a zoonotic parasitic disease caused by Echinococcus larvae, with hepatic echinococcosis sometimes exhibiting malignant-like behavior including vascular invasion. Portal vein invasion is a rare complication, and no prior report has described gastrointestinal hemorrhage due to portal hypertension from hydatid-induced portal vein invasion and cavernous transformation successfully treated by transjugular intrahepatic portosystemic shunt (TIPS). CASE PRESENTATION: A 44-year-old female with recurrent gastrointestinal bleeding and a history of right hepatectomy for hepatic alveolar echinococcosis was admitted. CT and ultrasound revealed portal vein invasion and cavernous transformation. TIPS was successfully performed, reducing the portosystemic pressure gradient from 22 mmHg to 9 mmHg. DISCUSSION: Hepatic echinococcosis may cause portal vein invasion and cavernous transformation. Medical therapy is poorly effective for severe complications like gastrointestinal hemorrhage. TIPS plays an important role in managing such patients.

conclusionsPortal hypertension-related complications are rare but challenging in echinococcosis treatment. TIPS is an effective option for patients with gastrointestinal bleeding, even in the setting of portal vein invasion and cavernous transformation.

Indexed as

Echinococcosis, HepaticGastrointestinal HemorrhageHypertension, PortalPortal VeinPortasystemic Shunt, Transjugular IntrahepaticAdultFemaleHumansTomography, X-Ray ComputedCavernous transformationGastrointestinal hemorrhageHepatic echinococcosisPortal vein invasionTransjugular intrahepatic portosystemic shunt (TIPS)

Identifiers

PMID42570184

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.