Atypical Localizations of Hydatid Disease: US and CT Evaluation

Gligorievski, Antonio (2018) Atypical Localizations of Hydatid Disease: US and CT Evaluation. ARC Journal of Radiology and Medical Imaging, 3 (2). pp. 4-13.

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Abstract

Abstract: Hydatid disease (HD) is a unique parasitic disease which is endemic in Macedonia, most frequent
localized in liver and lungs. It appears in the form of solitary or multiple cysts, different in size, homogenous,
clearly defined, sometimes accompanied by complications.
In this research, we present our experience with atypical localizations of HD: kidney, brain, muscle-skeletal
system, spleen, peritoneum, rectum, uterus, ovary, and breast.
The patients were examined by using conventional radiologic and other imaging methods such as ultrasound
(US) and computed tomography (CT).
Renal echinococcosis was found in 7 patients, a brain in 3, skeletal in 2, spleen in 3, gallbladder in 2,
peritoneal in 3, muscular in 1, ovarian in 2 and breast in one patient.
Native radiograms showed multilayer calcifications and a soft tissue shadow, while contrast radiograms of
the abdomen showed signs of intraperitoneal, extraluminal expansion, pressing the surrounding structures.
Intravenous urography (IVU) gives pictures of a repressed channel system by a tumor formation, with signs of
obstruction and hydronephrosis.
US imaging has a great value in HD screening, being also cheap easily available, simple and with great
diagnostic accuracy. CT imaging gives precise topographic and morphologic characteristics of the
pathological process, highly sensitive, specific and also accurate.
We can conclude that imaging methods have a great diagnostic value in HD with atypical localization.
Keywords: echinococcosis, hydatid disease, hydatid cyst, atypical localisations, US and CT

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Antonio Gligorievski
Date Deposited:	17 Nov 2020 08:37
Last Modified:	17 Nov 2020 08:37
URI:	https://eprints.ugd.edu.mk/id/eprint/26747

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