|
1
|
Al-Hakkak SMM, Muhammad AS, Mijbas SAR. Splenic-preserving surgery in hydatid spleen: a single institutional experience. J Med Life 2022; 15:15-19. [PMID: 35186131 PMCID: PMC8852631 DOI: 10.25122/jml-2021-0221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 11/03/2021] [Indexed: 11/19/2022] Open
Abstract
Though hydatid disease affects many organs in the human body, splenic hydatid accounts for approximately 0.8-4% of all human echinococcosis cases. Up to recently, splenectomy was the preferred surgery for hydatid spleen. Since 1980, conservative options to treat such a disease have become more and more prevalent. Our study aimed to assess our experience in open splenic preservative surgery for splenic hydatid in a single institutional center. Our retrospective research included ten patients with splenic hydatid operated between August 2013 and January 2018 at our medical center. The spleen was affected alone in seven cases, the liver and spleen were affected in three cases, and one of the patients had intra-peritoneal cyst disease. The diagnosis was confirmed primarily by ultrasonography. In some instances, computed tomography and magnetic resonance imaging were required. A chest x-ray was performed to rule out pulmonary hydatid in all patients. Open surgery procedure, field isolation, cystic fluid aspiration, and injection of 1% cetrimide solution, respiration, endocystectomy, suture of cystic edges to the intracystic tube drain were performed. All surgeries had albendazole before and after the operation 15 mg/kg/day. There were no significant intra or postoperative complications, and no further surgery was required. Patients remained hospitalized for 3-5 days. No recurrence after 1-3 follow-up years. However, three patients failed to follow up within two years. Our experience with splenic hydatids prompts us to use splenic conservation surgery whenever possible instead of splenectomy.
Collapse
Affiliation(s)
- Samer Makki Mohamed Al-Hakkak
- Department of Surgery, Jabir Ibn Hayyan Medical University, Najaf, Iraq,* Corresponding Author: Samer Makki Mohamed Al-Hakkak, Department of Surgery, Faculty of Medicine, Jabir Ibn Hayyan Medical University, Najaf, Iraq. E-mail:
| | | | | |
Collapse
|
|
2
|
Arslan H, Sakarya ME, Bozkurt M, Dilek FH, Yilmaz Y, Dilek ON, Er R. Free Hydatid Cyst only Covered with Germinative Membrane Disrupted from Fibrotic Capsule in the Peritoneal Cavity : a Case Report. Acta Chir Belg 2020. [DOI: 10.1080/00015458.1998.12098383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- H. Arslan
- Departments of Radiology, School of Medicine, Yüzüncü Yil University, Van, Turkey
- Departments of General Surgery, School of Medicine, Yüzüncü Yil University, Van, Turkey
| | - M. Emin Sakarya
- Departments of Radiology, School of Medicine, Yüzüncü Yil University, Van, Turkey
- Departments of General Surgery, School of Medicine, Yüzüncü Yil University, Van, Turkey
| | - M. Bozkurt
- Departments of Radiology, School of Medicine, Yüzüncü Yil University, Van, Turkey
- Departments of General Surgery, School of Medicine, Yüzüncü Yil University, Van, Turkey
| | - F. Hüsniye Dilek
- Departments of Pathology, School of Medicine, Yüzüncü Yil University, Van, Turkey
- Departments of General Surgery, School of Medicine, Yüzüncü Yil University, Van, Turkey
| | - Y. Yilmaz
- Departments of Urology, School of Medicine, Yüzüncü Yil University, Van, Turkey
- Departments of General Surgery, School of Medicine, Yüzüncü Yil University, Van, Turkey
| | - O. Nuri Dilek
- Departments of Urology, School of Medicine, Yüzüncü Yil University, Van, Turkey
- Departments of General Surgery, School of Medicine, Yüzüncü Yil University, Van, Turkey
| | - R. Er
- Departments of Pathology, School of Medicine, Yüzüncü Yil University, Van, Turkey
- Departments of General Surgery, School of Medicine, Yüzüncü Yil University, Van, Turkey
| |
Collapse
|
|
3
|
Idris MA, Ruppel A, Gehrig-Feistel H, Alansari AS, Al-Rejaibi AK, Tageldin MH, El-Sinary K. The seroprevalence of cystic hydatidosis in Oman. ANNALS OF TROPICAL MEDICINE AND PARASITOLOGY 2016. [DOI: 10.1080/00034983.1999.11813421] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
|
|
4
|
A Pseudo-Outbreak of Echinococcosis in Wisconsin. INFECTIOUS DISEASES IN CLINICAL PRACTICE 2013. [DOI: 10.1097/ipc.0b013e318279ee39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
|
5
|
Moretti B, Panella A, Moretti L, Garofalo R, Notarnicola A. Giant primary muscular hydatid cyst with a secondary bone localization. Int J Infect Dis 2009; 14 Suppl 3:e192-5. [PMID: 19889561 DOI: 10.1016/j.ijid.2009.07.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2009] [Revised: 06/26/2009] [Accepted: 07/08/2009] [Indexed: 12/30/2022] Open
Abstract
Primary musculoskeletal hydatidosis is less frequent than hydatidosis of the parenchymal organs. This localization has been little studied and so there is little information in the literature on the subsequent disease evolution. We present a case of primary hydatidosis of the abductor muscle that came to medical attention very late. After complete surgical removal of the huge mass, a secondary bone localization developed, causing a femoral pertrochanteric pathological fracture. The case described is exceptional in view of both the localization and the great size of the primary multi-lobed muscle hydatid cyst. We underline the difficulties of diagnosis and treatment of both the primary muscle localization and the secondary bone recurrence.
Collapse
Affiliation(s)
- Biagio Moretti
- Department of Clinical Methodology and Surgical Technique, Orthopedics Section, University of Bari, Piazza G. Cesare 11, Bari, Italy
| | | | | | | | | |
Collapse
|
|
6
|
Case report of a primary multiloculate muscular cystic hydatidosis. Musculoskelet Surg 2009; 93:79-83. [PMID: 19711006 DOI: 10.1007/s12306-009-0031-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2009] [Accepted: 04/29/2009] [Indexed: 12/21/2022]
Abstract
Hydatidosis is a zoonosis caused by the ingestion of Echinococcus granulosus eggs, released though the feces, from infected dogs to humans. Primary localization is mostly hepatic and/or pulmonary, whereas muscular involvement is very rare, even more so in muscular striated tissue. This is the report of a case of a primary intramuscular hydatid cyst in a 79-year-old woman who presented with a 3-year history of a painful lump in her proximal medial left thigh. The authors document the exceptional giant dimensions of the cyst, which have not previously been reported in a case of striated muscular hydatid disease.
Collapse
|
|
7
|
Daoudi A, Shimi M, Lahrach K, Elibrahimi A, Loudiyi WD, Amar MF, Chbani B, Boutayeb F, Elmrini A, Chakour K. [Isolated echinococcosis of the flexor digitorum profondus: a case report]. ACTA ACUST UNITED AC 2009; 28:175-9. [PMID: 19376738 DOI: 10.1016/j.main.2009.03.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2008] [Revised: 01/16/2009] [Accepted: 03/02/2009] [Indexed: 12/17/2022]
Abstract
Echinococcosis is a widespread zoonosis which is endemic in most sheep-raising countries. Primary isolated muscular localisation is uncommon even in these endemic areas. The authors report a rare case of primary hydatid cyst localized in the myotendinous junction of the flexor digitorum profundus. According to our review of the medical literature, there are no reports of a similar case, making ours the first such report.
Collapse
Affiliation(s)
- A Daoudi
- Laboratoire d'anatomie, faculté de médecine et de pharmacie, BP 1893, Fès, Maroc.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
|
8
|
Daoudi A, Loudiyi WD, Elibrahimi A, Elmrini A, Chakour K, Boutayeb F. [Solitary subcutaneous hydatid cyst of gluteal area: an unusual localisation. A case report]. ANN CHIR PLAST ESTH 2007; 53:448-51. [PMID: 18055088 DOI: 10.1016/j.anplas.2007.09.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2007] [Accepted: 09/17/2007] [Indexed: 12/19/2022]
Abstract
Subcutaneous localization of hydatid cyst is uncommon even in endemic zone. Symptoms are often discrete. Diagnosis is confirmed by imaging: ultrasonography and/or magnetic resonance imaging, thus avoiding any untimely gesture. The treatment is surgery. Authors report a case of unusual subcutaneous localization of solitary hydatid cystis in the gluteal area.
Collapse
Affiliation(s)
- A Daoudi
- Service de chirurgie orthopédique, CHU Hassan-II, faculté de médecine et de pharmacie de Fès, B.P. 1893, Fès, Maroc.
| | | | | | | | | | | |
Collapse
|
|
9
|
Stamm B, Fejgl M, Hueber C. Satellite cysts and biliary fistulas in hydatid liver disease. A retrospective study of 17 liver resections. Hum Pathol 2007; 39:231-5. [PMID: 17949782 DOI: 10.1016/j.humpath.2007.06.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2007] [Revised: 06/19/2007] [Accepted: 06/20/2007] [Indexed: 10/22/2022]
Abstract
In Switzerland, the preferred mode of treatment for hydatid liver disease caused by Echinococcus granulosus is surgery, giving us the opportunity for a retrospective histopathologic study of 17 consecutive liver resections. We focused on the occurrence of satellite cysts and of biliary fistulas and their effects on bile ducts. Of 17 patients, 6 (35%) had one or more satellite cysts, to be distinguished from internal daughter cysts. Small areas of fibrinoid necrosis within the fibrous pericyst, a surprisingly constant histologic finding, offer a simple explanation for the occurrence of such satellite cysts as well as for the development of biliary fistulas. Large fistulas with gross drainage of cyst contents into bile ducts were present in 5 patients (30%). The accompanying cholangitis was distinctly granulomatous in 2 of them, an observation rarely mentioned in the literature. All 5 patients with large fistulas also had chronic sclerosing cholangitis and dilatation of smaller bile ducts, in all probability the result of chronic cyst fluid leakage through preexisting, clinically silent smaller fistulas. Dilatation of small bile ducts is rightly considered a precursor sign for large fistulas. Awareness of the histopathology of these complications facilitates the interpretation of ultrasound and radiologic imaging, sheds light on their pathogenesis, and may influence the choice of treatment.
Collapse
Affiliation(s)
- Bernhard Stamm
- Institute of Pathology, Kantonsspital Aarau AG, CH-5000 Aarau, Switzerland.
| | | | | |
Collapse
|
|
10
|
Ormeci N, Idilman R, Akyar S, Palabiyikoğlu M, Coban S, Erdem H, Ekiz F. Hydatid cysts in muscle: a modified percutaneous treatment approach. Int J Infect Dis 2006; 11:204-8. [PMID: 16814586 DOI: 10.1016/j.ijid.2005.10.015] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2005] [Revised: 09/12/2005] [Accepted: 10/12/2005] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION Any organ in the human body may be affected by hydatid disease, but the liver and the lungs are most commonly affected. A rare localization of hydatid disease is within muscle tissue. Herein we present three patients with muscular hydatid disease who were successfully treated with a modified percutaneous approach. METHODS Patients with Gharbi type III cysts were treated on an outpatient basis. All procedures were performed under ultrasound guidance in the ultrasonography unit of our department. After local anesthesia, percutaneous puncture was performed in a one-step procedure. After free drainage stopped, absolute ethanol and polidocanol were injected into the cyst cavity. After the procedure, the patient was observed for at least six hours for any adverse reactions and sent home. Patients were followed-up with ultrasonography. A positive treatment effect was characterized by a reduction of the cyst's pseudo-tumor pattern and size, and by detachment of the germinal membrane. RESULTS The three patients in this report had a total of five hydatid cysts in muscle tissue and were all successfully treated with a modified percutaneous approach without recurrence. CONCLUSION Percutaneous drainage without re-aspiration is simple, easy to apply, low cost, repeatable, and does not require hospitalization. There have been no reported deaths associated with the procedure and morbidity is very low. When the technique is applied properly, relapses do not occur. With its low complication rate and its suitability for outpatient treatment, this method can be an alternative to surgery or puncture, aspiration, injection, and re-aspiration (PAIR) in selected patients.
Collapse
Affiliation(s)
- Necati Ormeci
- Department of Gastroenterology, Ankara University Medical School, Ibn'i Sina Hospital, Sihhiye, Ankara, 06100 Turkey.
| | | | | | | | | | | | | |
Collapse
|
|
11
|
Blonski WC, Campbell MS, Faust T, Metz DC. Successful aspiration and ethanol sclerosis of a large, symptomatic, simple liver cyst: Case presentation and review of the literature. World J Gastroenterol 2006; 12:2949-54. [PMID: 16718826 PMCID: PMC4087818 DOI: 10.3748/wjg.v12.i18.2949] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Simple liver cysts are congenital with a prevalence of 2.5%-4.25%. Imaging, whether by US, CT or MRI, is accurate in distinguishing simple cysts from other etiologies, including parasitic, neoplastic, duct-related, and traumatic cysts. Symptomatic simple liver cysts are rare, and the true frequency of symptoms is not known. Symptomatic simple liver cysts are predominantly large (> 4 cm), right-sided, and more common in women and older patients. The vast majority of simple hepatic cysts require no treatment or follow-up, though large cysts (> 4 cm) may be followed initially with serial imaging to ensure stability. Attribution of symptoms to a large simple cyst should be undertaken with caution, after alternative diagnoses have been excluded. Aspiration may be performed to test whether symptoms are due to the cyst; however, cyst recurrence should be expected. Limited experience with both laparoscopic deroofing and aspiration, followed by instillation of a sclerosing agent has demonstrated promising results for the treatment of symptomatic cysts. Here, we describe a patient with a large, symptomatic, simple liver cyst who experienced complete resolution of symptoms following cyst drainage and alcohol ablation, and we present a comprehensive review of the literature.
Collapse
Affiliation(s)
- Wojciech C Blonski
- Gastroenterology Division, University of Pennsylvania, Philadelphia, PA 19104, United States
| | | | | | | |
Collapse
|
|
12
|
Yuan W, Lee R, Chou Y, Chiang J, Chen Y, Hsu H. Hydatid cyst of the liver: a case report and literature review. Kaohsiung J Med Sci 2005; 21:418-23. [PMID: 16248126 PMCID: PMC11917981 DOI: 10.1016/s1607-551x(09)70144-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2005] [Accepted: 05/06/2005] [Indexed: 10/20/2022] Open
Abstract
Taiwan is nearly free from hydatid disease. We report a case of hydatid cyst of the liver in a 37-year-old man who originally lived in India and had migrated to Taiwan 2 years earlier. He presented with right upper quadrant pain and intermittent low-grade fever. Both sonography and computed tomography (CT) demonstrated a cystic lesion with vesicles at its periphery in segments 6 and 7 of the liver. A hydatid cyst was diagnosed. The patient underwent radical excision of the cyst with total removal without opening the wall. He also received pre- and postoperative oral mebendazole. Pathology showed a hydatid cyst consisting of three layers: the inner single nucleated geminal layer, the middle acellular laminated layer, and the outer pericyst originating from inflammatory and hepatic cells. This case highlights that accurate preoperative diagnosis of hydatid disease can be made from personal history, typical sonography and CT study in non-endemic areas.
Collapse
Affiliation(s)
- Wei‐Hsin Yuan
- Departmant of Radiology, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan
| | - Rheun‐Chuan Lee
- Departmant of Radiology, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan
| | - Yi‐Hong Chou
- Departmant of Radiology, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan
| | - Jen‐Huey Chiang
- Departmant of Radiology, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan
| | - Yuh‐Kuen Chen
- Departmant of Radiology, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan
- Departmant of Pathology, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan
| | - Hui‐Chen Hsu
- Departmant of Radiology, Taipei Veterans General Hospital, National Yang Ming University, Taipei, Taiwan
- Department of Diagnostic Radiology, Koo Foundation Sun Yat‐Sen Cancer Center, Taipei, Taiwan
| |
Collapse
|
|
13
|
Jabbour N, Shirazl SK, Genyk Y, Mateo R, Pak E, Cosenza C, Peyré CG, Selby RR. Surgical Management of Complicated Hydatid Disease of the Liver. Am Surg 2002. [DOI: 10.1177/000313480206801109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Increased worldwide travel and immigration have led to an increase in the incidence of hepatic hydatid disease outside of endemic areas. In nonendemic areas lack of familiarity with the disease may lead to a delay in diagnosis with increased risk for development of complicated disease. Complicated disease is defined as: infected cysts, cysts with a hyperechoic solid pattern or calcified walls, or cysts with biliary rupture. Over a 6-month period six patients with complicated hydatid disease were referred to our institution. All six patients were immigrants from endemic areas and were found to have complicated hepatic hydatid disease including cholangitis and intrabiliary rupture. Patients were treated with oral albendazole for 3 weeks before operation and oral praziquantel for 2 days preoperatively. Surgical therapy consisted of subtotal cystectomy, cholecystectomy in all patients, and cystic duct biliary decompression-drainage in five patients. The one patient without biliary drainage developed a postoperative bile leak that resolved with endoscopic biliary stenting. All patients received albendazole for 3 months postoperatively and were free of disease at 6 to 24 months follow-up. We conclude that although nonoperative management with percutaneous drainage or medical management alone may be successful in patients with uncomplicated disease operation remains the therapy of choice for complicated hydatid disease.
Collapse
Affiliation(s)
- Nicolas Jabbour
- Division of Hepatobiliary [Pancreatic Surgery and Abdominal Organ Transplantation, University of Southern California, LAC/USC, Los Angeles, California
| | - Sherin K. Shirazl
- Division of Hepatobiliary [Pancreatic Surgery and Abdominal Organ Transplantation, University of Southern California, LAC/USC, Los Angeles, California
| | - Yuri Genyk
- Division of Hepatobiliary [Pancreatic Surgery and Abdominal Organ Transplantation, University of Southern California, LAC/USC, Los Angeles, California
| | - Rod Mateo
- Division of Hepatobiliary [Pancreatic Surgery and Abdominal Organ Transplantation, University of Southern California, LAC/USC, Los Angeles, California
| | - Eddy Pak
- Division of Hepatobiliary [Pancreatic Surgery and Abdominal Organ Transplantation, University of Southern California, LAC/USC, Los Angeles, California
| | - Carlos Cosenza
- Division of Hepatobiliary [Pancreatic Surgery and Abdominal Organ Transplantation, University of Southern California, LAC/USC, Los Angeles, California
| | - Christian G. Peyré
- Division of Hepatobiliary [Pancreatic Surgery and Abdominal Organ Transplantation, University of Southern California, LAC/USC, Los Angeles, California
| | - Robert Rick Selby
- Division of Hepatobiliary [Pancreatic Surgery and Abdominal Organ Transplantation, University of Southern California, LAC/USC, Los Angeles, California
| |
Collapse
|
|
14
|
Alexiadis G, Lambropoulou M, Deftereos S, Papadopoulos N, Manavis J. Primary muscular hydatidosis. US, CT and MR findings. Acta Radiol 2002. [PMID: 12225488 DOI: 10.1034/j.1600-0455.2002.430416.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
We present a rare case of primary muscular hydatidosis in the left thigh of a 40-year-old female patient. US, CT and MR imaging showed a typical multilocular hydatid cyst deep in the vastus intermedius and vastus medialis muscles. Histopathological examination, which followed surgical excision, established the diagnosis of echinococcus cyst.
Collapse
Affiliation(s)
- G Alexiadis
- Department of Radiology, Democritus University of Thrace, Alexandroupolis, Greece
| | | | | | | | | |
Collapse
|
|
15
|
Becker K, Frieling T, Saleh A, Häussinger D. Resolution of hydatid liver cyst by spontaneous rupture into the biliary tract. J Hepatol 1997; 26:1408-12. [PMID: 9210631 DOI: 10.1016/s0168-8278(97)80479-5] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Among the complications of hydatid liver disease, spontaneous cyst rupture into the biliary tract is unusual, occurring in 3.2-17% of cases. Its endoscopic management has been reported rarely, and corresponding complete photodocumentation is unique. Such a case is described and comprehensively illustrated in a 48-year-old immunocompromised man, presenting with upper abdominal pain, obstructive jaundice, and fever. Impaction of hydatid material into the common bile duct and the papilla of Vater was relieved endoscopically, and the patient was consecutively treated with two courses of mebendazole. This management resulted in complete clinical resolution of hepatic hydatosis after 8 months of follow-up. Complications of overt cyst perforation may be allergic, obstructive, secondary infectious, or metastatic. Ultrasound and computed tomography are complementary tools for diagnosis of hepatic echinococcosis, with endoscopic retrograde cholangiography being the "gold standard" in confirming rupture into the biliary system. Laboratory results are usually non-specific. While surgical excision is the treatment of choice, selected patients may primarily be managed endoscopically, followed by anthelminthic therapy.
Collapse
Affiliation(s)
- K Becker
- Department of Gastroenterology and Infectious Diseases, Heinrich Heine University Medical Center, Düsseldorf, Germany
| | | | | | | |
Collapse
|
|
16
|
Abstract
This article deals with cystic echinococcosis (CE) and alveolar echinococcosis in humans caused by the cestode parasites Echinococcus granulosus and Echinococcus multilocularis. The life cycles of these parasites and their epidemiologic aspects are briefly discussed, and a detailed review is presented on clinical aspects of the diseases, including diagnosis and therapy. Considerable progress has been made in chemotherapy but the results are not yet satisfactory. A new alternative for treatment of CE is puncture of cysts, aspiration of fluid, injection of ethanol, and reaspiration of fluid (PAIR).
Collapse
Affiliation(s)
- R W Ammann
- Department of Medicine, University Hospital, Zürich, Switzerland
| | | |
Collapse
|
|
17
|
Affiliation(s)
- R J Graham
- Department of Diagnostic Radiology, Evanston Hospital-McGaw Medical Center of Northwestern University, IL 60201, USA
| | | | | |
Collapse
|
|
18
|
Kozarek RA, Traverso LW. Endotherapy for chronic pancreatitis. INTERNATIONAL JOURNAL OF PANCREATOLOGY : OFFICIAL JOURNAL OF THE INTERNATIONAL ASSOCIATION OF PANCREATOLOGY 1996; 19:93-102. [PMID: 8723551 DOI: 10.1007/bf02805222] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- R A Kozarek
- Department of Medicine, Virginia Mason Medical Center, Seattle, WA 98111, USA
| | | |
Collapse
|
|
19
|
Ramirez MJ. Case report: Laparoscopic resection of hydatid cyst, with laparoscopic cholecystectomy and laparoscopically-assisted vaginal hysterectomy. MINIM INVASIV THER 1996. [DOI: 10.3109/13645709609153072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
|
20
|
Suwan Z. Sonographic findings in hydatid disease of the liver: comparison with other imaging methods. ANNALS OF TROPICAL MEDICINE AND PARASITOLOGY 1995; 89:261-9. [PMID: 7668917 DOI: 10.1080/00034983.1995.11812951] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Patients with hepatic hydatid disease were examined by sonography (N = 62), plain radiography (N = 62), computerized tomography (CT; N = 25) and/or isotope scans (N = 31). The clinical presentation ranged from asymptomatic to right upper quadrant complaints and, rarely, remote symptoms. Plain radiology showed liver calcifications in 26% of the cases tested; half of the calcifications were in collapsed, flattened cysts. Sonography, the investigation of choice, since it is cheap, non-invasive and accurate, is particularly useful during the active stage of cyst development, when plain X-rays appear normal or show non-specific hepatomegaly. Sonography was used to categorize cysts as 'solitary univesicular' (23% of cases, echo-free, with sand or split wall), 'solitary multivesicular' (31%), 'solid echogenic mass' (10%), 'multiple' (21%); either uni- or multi-vesicular) or 'collapsed, flattened and calcified' (16%). Sonography was superior to CT in the investigation of the cyst wall, hydatid 'sand', daughter cysts, and the relationship of the cyst to the diaphragm. However, CT was superior to sonography in detecting gas within the cysts and minute calcifications and in anatomical mapping. The majority of the hydatid cases had multivesicular cysts. In Jordan, as in all endemic areas, a univesicular cyst of the liver should be considered a possible Echinococcus granulosus infection until proven otherwise.
Collapse
Affiliation(s)
- Z Suwan
- Department of Radiology, Jordan University Hospital, Amman
| |
Collapse
|