Diagnosis of Human Hydatidosis: Comparison between Imagery and Six Serologic Techniques

Babba, Hammouda; Messedi, A.; Masmoudi, S.; Zribi, M.; Grillot, R.; Ambriose-Thomas, P.; Beyrouti, I.; Sahnoun, Y

doi:10.4269/ajtmh.1994.50.64

Cited by 112 publications

(57 citation statements)

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“…KH tanısında görüntüleme yön-temleri ile serolojik testler birlikte değerlendirilmektedir. Uygulanan tedavinin takibinde serolojik test sonuçlarının değerli olması nedeniyle kullanılan bu testlerin duyarlılık ve özgül-lüklerinin ve test sonuçlarını etkileyen faktörlerin bilinmesi son derece önem taşımaktadır (10 …”

Section: Discussionunclassified

Determination of Anti-Echinococcus IgG Antibodies by ELISA in Patients with Suspected Hydatid Cyst

Aydın

Adıyaman²,

Doğruman-Al³

et al. 2012

Turkiye Parazitol Derg

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Section: Discussionunclassified

Determination of Anti-Echinococcus IgG Antibodies by ELISA in Patients with Suspected Hydatid Cyst

Aydın

Adıyaman²,

Doğruman-Al³

et al. 2012

Turkiye Parazitol Derg

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“…While EUS morphology alone has limitations regarding definitive diagnosis fluid aspirates can help in differentiating malignant cystic lesions. Serology is more specific but less sensitive than imagery [5]. The surgical treatment of the pancreatic hydatid cyst depends on its location, as in our case the cyst is located at the level of the body of the pancreas with wide communication with the wirsung so a medial pancreatectomy with pancreatic gastric anastomosis was performed, while the cysts in the body and the head pancreas without communication with the wirsung can be treated by a good evacuation, pericystectomy and omentoplasty.…”

Section: Discussionmentioning

confidence: 99%

A case of pancreatic cyst hydatid misdiagnosed as pancreatic cancer

Belhaj¹,

Zerhouni²,

Souiki³

et al. 2018

Journal of Surgery and Medicine

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This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. AbstractHydatid disease, is a zoonotic infection caused by the Echinococcus parasite, localized especially at the liver, herein we described a case which presented with epigastric pain and Hydatid cyst of the pancreas. 19-year-old female with a history of stage B pancreatitis one month ago presented with epigastric pain, and her physical examination showed an epigastric mass 5 cm in diameter. Abdominal computed tomography showed a pancreatic tumor: Cystadenoma or Cystadenocarcinoma. Magnetic resonance imaging showed a mucinous intra-papillary tumor of the pancreas without signs of degeneration. Echo endoscopy realized talks about an aspect of a pseudo papillary solid tumor of the pancreas or false cyst of the pancreas. Surgery discovered finally a hydatid cyst of the pancreas, then a medial pancreatectomy was performed with anastomosis between the tail of the pancreas and the stomach. In conclusion, hydatid cyst of the pancreas should be considered in the differential diagnosis of cystic lesion of the pancreas, and in some cases surgery remains the only definitive diagnostic and therapeutic tool. Keywords: Hydatid disease, Pancreas, Medial pancreatectomy ÖzHidatik hastalık, özellikle karaciğerde lokalize olan Echinococcus parazitinin neden olduğu zoonotik bir enfeksiyondur. Burada epigastrik ağrı ve pankreasın hidatik kisti ile başvuran bir olguyu tanımladık. Bir ay önce evre B pankreatit öyküsü olan 19 yaşında kadın hasta epigastrik ağrı ile başvurdu ve fizik muayenesinde 5 cm çapında epigastrik kitle saptandı. Abdominal bilgisayarlı tomografide pankreas tümörü görüldü: kistedenom yada kistadenokarsinom. Manyetik rezonans görüntülemede dejenerasyon belirtileri olmaksızın pankreasın intra-papiller tümörüne rastlandı. Eko endoskopi pankreasın pseudo papiller solid tümörünün veya pankreasın yanlış kistinin bir yönüyle ilgili görüşmelerde bulundu. Ameliyat sonunda nihayetinde pankreas kist hidatiği saptandı, daha sonra pankreas ve midenin kuyruğu arasında anastomoz ile medial pankreatektomi yapıldı. Sonuç olarak, pankreasın kistik lezyonunun ayırıcı tanısında pankreasın hidatik kisti düşünülmeli ve bazı olgularda cerrahi tek kesin tanı ve tedavi aracı olarak kalmaktadır.

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“…4 This is supported in our case by the negativity of the hydatid serological test that is common in old calcified HHC in a process of degeneration (types 4 and 5 of Gharbi). 7 Therefore, developing of fatty attenuation seems to be related to the aging process of the cyst.…”

Section: Discussionmentioning

confidence: 99%

Hepatic Hydatid Cyst with Fat-Fluid Level and Budd-Chiari Syndrome

Jouini

Sehili

Ayadi

et al. 2001

Annals of Saudi Medicine

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Cyst with Fat-Fluid Level and Budd-Chiari Syndrome. 2001; 21(3-4): [225][226][227] Hepatic hydatid cyst is a parasitic infestation due to the development of the larval form of the tapeworm Echinococcus granulosus in the liver.1 Although compression of hepatic veins is commonly noticed on imaging studies, hepatic hydatidosis is a very rare cause of Budd-Chiari syndrome.2 Fat-fluid level in a hepatic hydatid cyst (HHC) was first reported in 1996 by Montero et al., 3 who documented three cases of the condition on CT and MRI, and explained it by its rupture into the biliary tree. Although no other cases have been published in the literature to our knowledge since then, there has been controversy on the significance of the presence of intraparasitic fat. Beric et al. feel that the fat-fluid level in a HHC is related to the degeneration of hydatid membranes rather than to biliocystic communication. 4 The purpose of this study was to report an exceptional case of large fat-fluid level in a hepatic hydatid cyst in the left lobe with no biliocystic communication, but associated with chronic Budd-Chiari syndrome due to compression of hepatic veins by multiple HHC of the right lobe. Case ReportA 55-year-old female patient was admitted for epigastric pain and heartburn of a year's duration. On examination, no jaundice or fever was noted. Abdominal palpation revealed an enlarged liver with a bulging mass in the left lobe. Liver function tests were normal (total bilirubin, 15 μmol/L; unconjugate bilirubin, 8 μmol/L; direct bilirubin, 7 μmol/L, and alkaline phosphatase, 112 IU/L). Serological tests for hepatitis B and C were negative. Test for echinococcosis using IHA was negative. On abdominal ultrasound, the liver was dysmorphic, showing undulating outlines with severe enlargement of the left lobe and caudate lobe, which were suggestive of chronic liver disease. The right lobe of the liver exhibited four masses. A huge multiseptated cystic mass, 12 cm in diameter and suggestive of multivesicular hydatid cyst (type 3 of Gharbi), occupied the whole right lateral sector, encroaching upon the right medial sector and totally compressing the right and middle hepatic veins. Three masses of solid heterogeneous echogenicity were in the segments 5 and 8, showing well-defined outlines with slight enhancement of posterior echoes. These three masses contained long hypoechoic spirals highly suggestive of pseudotumoral hydatid cyst (type 4 of Gharbi). The gallbladder harbored a large stone, whereas the biliary ducts were normal. The left hepatic lobe exhibited two superficial anterior echogenic heterogeneous masses, the largest of which was in segment 2. It was 13 cm in its long axis, and displayed a horizontal level separating a lower hyperechoic layer and an upper hypoechoic layer. The second mass, 5 cm in diameter, was located in segment 3 and showed peripheral calcifications. Also, ultrasound noted mild ascitis as well as splenorenal collateral venous circulation near the lower pole of the spleen denoting portal hypertension. CT wit...

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Diagnosis of Human Hydatidosis: Comparison between Imagery and Six Serologic Techniques

Cited by 112 publications

References 0 publications

Determination of Anti-Echinococcus IgG Antibodies by ELISA in Patients with Suspected Hydatid Cyst

Determination of Anti-Echinococcus IgG Antibodies by ELISA in Patients with Suspected Hydatid Cyst

A case of pancreatic cyst hydatid misdiagnosed as pancreatic cancer

Hepatic Hydatid Cyst with Fat-Fluid Level and Budd-Chiari Syndrome

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