Diagnosis of abdominal hydatid cyst disease: The role of ultrasound and ultrasound-guided fine needle aspiration cytology

被引:14
作者
Sinan, T
Sheikh, M
Chisti, FA
Al Saeed, O
Sheikh, Z
Hira, PR
Behbehani, A
机构
[1] Kuwait Univ, Fac Med, Dept Radiol, Safat 13110, Kuwait
[2] Kuwait Univ, Fac Med, Dept Microbiol, Safat 13110, Kuwait
[3] Kuwait Univ, Fac Med, Dept Surg, Safat 13110, Kuwait
[4] Mubarak Al Kabeer Hosp, Jabriya, Kuwait
[5] Amiri Hosp, Dept Radiol, Kuwait, Kuwait
关键词
ultrasound; fine needle aspiration cytology; hydatid cyst disease;
D O I
10.1159/000065809
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To retrospectively analyze the role of ultrasound (US) imaging and US-guided fine needle aspiration cytology in the diagnosis and management of abdominal hydatid cyst disease (HCD). Subjects and Methods: The medical records of 55 diagnosed cases of HCD seen between January 1986 and December 2000 at Mubarak Al-Kabeer Hospital and Al-Amiri Hospital in Kuwait were reviewed for demographic and clinical data, including radiology and serology. The US findings of the patients were classified into four types as follows: type 1: single or multiple well-defined cysts, with or without detached or collapsed wall and with or without echogenic contents; type 11: single or multiple cysts with peripheral cysts, with or without echogenic contents; type III: solid or semisolid lesions, and type IV: cysts with calcified walls. Results: The overall accuracy of US in the diagnosis of HCD was 80% (44/55 cases). US examination was suggestive of HCD type 1, 16/19 (84%), type 11, 21/23 (91%), type 111, 3/8 (38%), and type IV, 4/5 (80%). For the 11 remaining undiagnosed cases, US was useful for localizing the lesions for US-guided fine needle aspiration cytology. It established the diagnosis in all the 11 cases, without precipitating complications. Conclusion: US alone was valuable for diagnosing and localizing HCD in the abdomen except for solid-type lesions. US-guided fine needle aspiration cytology was useful in localizing and establishing the diagnosis of HCD in the cases where US alone was ineffective. Copyright (C) 2002 S. Karger AG, Basel.
引用
收藏
页码:190 / 195
页数:6
相关论文
共 24 条
[1]  
AGARWAL PK, 1989, ACTA CYTOL, V33, P652
[2]   MANAGEMENT OF PROBLEMATIC INTRACRANIAL HYDATID CYSTS [J].
ALTINORS, N ;
SENVELI, E ;
DONMEZ, T ;
BAVBEK, M ;
KARS, Z ;
SANLI, M .
INFECTION, 1995, 23 (05) :283-287
[3]   HYDATIDOSIS IN JORDAN - AN EPIDEMIOLOGIC-STUDY OF 306 CASES [J].
AMR, SS ;
AMR, ZS ;
JITAWI, S ;
ANNAB, H .
ANNALS OF TROPICAL MEDICINE AND PARASITOLOGY, 1994, 88 (06) :623-627
[4]  
Beaver P., 1984, Cyclophyllidium tapeworm Clinical parasitology. 9th edn Philadelphia, P505
[5]   PERCUTANEOUS ASPIRATION AND DRAINAGE OF HYDATID CYSTS IN THE LIVER [J].
BRET, PM ;
FOND, A ;
BRETAGNOLLE, M ;
VALETTE, PJ ;
THIESSE, P ;
LAMBERT, R ;
LABADIE, M .
RADIOLOGY, 1988, 168 (03) :617-620
[6]   Ultrasound imaging in cystic echinococcosis. Proposal of a new sonographic classification [J].
Caremani, M ;
Benci, A ;
Maestrini, R ;
Accorsi, A ;
Caremani, D ;
Lapini, L .
ACTA TROPICA, 1997, 67 (1-2) :91-105
[7]  
CHEMTAI AK, 1981, B WORLD HEALTH ORGAN, V59, P767
[8]   Echinococcus multilocularis revisited [J].
Czermak, BV ;
Unsinn, KM ;
Gotwald, T ;
Waldenberger, P ;
Freund, MC ;
Bale, RJ ;
Vogel, W ;
Jaschke, WR .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 176 (05) :1207-1212
[9]   ULTRASOUND-GUIDED FINE-NEEDLE ASPIRATION CYTOLOGY - DIAGNOSIS OF HYDATID-DISEASE OF THE ABDOMEN AND THORAX [J].
DAS, DK ;
BHAMBHANI, S ;
PANT, CS .
DIAGNOSTIC CYTOPATHOLOGY, 1995, 12 (02) :173-176
[10]   SURGICAL-TREATMENT OF HYDATID CYSTS OF THE LUNG - REPORT ON 1055 PATIENTS [J].
DOGAN, R ;
YUKSEL, M ;
CETIN, G ;
SUZER, K ;
ALP, M ;
KAYA, S ;
UNLU, M ;
MOLDIBI, B .
THORAX, 1989, 44 (03) :192-199