RESUMO
Hepatic sparganosis (HS) is extremely rare and has not been previously reported in Eastern China. We report the diagnosis and treatment of a patient with HS from Xuzhou City, Jiangsu Province, China. The patient was admitted due to an acute biliary tract infection, and the symptoms improved after treatment at the Gastroenterology Department. During an ultrasound examination on admission, an abnormal echo was incidentally discovered at the junction of the left and right lobes of the liver. Thereafter, upper abdominal computed tomography (CT) and magnetic resonance imaging (MRI) non-contrast and contrast-enhanced examinations, and serum tumor biomarker examination were completed. After a multidisciplinary treatment (MDT) discussion at the Department of Hepatobiliary Surgery, the patient was diagnosed with intrahepatic mass-type cholangiocarcinoma (IMCC) and surgery was recommended. The patient underwent surgical treatment, and postoperative pathology revealed HS. No signs of intrahepatic recurrence were observed during the 1-year follow-up period.
RESUMO
An efficient method for enzymatic-selective synthesis of dilauryl mannoses was developed using lipase-catalyzed condensation of D: -mannose and lauric acid in a simultaneous reaction-extraction system. The highest equilibrium conversion of diesters of 51% (1,6-diester: 14%; 3,6-diester: 18%; 4,6-diester: 19%) and the total conversion of mono and dilauryl mannoses of 76% were achieved at the n-hexane/acetonitrile ratio of 1:1, the molar ratio of lauric acid to mannose of 4:1, 60 g/l molecular sieves and 5 g/l lipase at 50 degrees C for 72 h in 15 ml SRE system. The new system will be important for the synthesis of dilauryl mannoses.