Imaging of Hepatic Infections

Benedetti, Nancy; Desser, Terry S.; Jeffrey, R. Brooke

doi:10.1097/ruq.0b013e31818e5981

Cited by 65 publications

(50 citation statements)

References 50 publications

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“…The liver parenchyma should be evaluated for focal and/or diffuse abnormalities. If possible, the echogenicity of the liver should be compared with that of the right kidney [15]- [17]. Whenever possible, all portions of the pancreas -head, uncinate process, body, and tail-should be identified.…”

Section: Abdominal Ultrasound Scanning Techniquementioning

confidence: 99%

Assessment of Visceral Leishmaniasis Consequences Using Ultrasound

Mahmoud¹

2014

OJRad

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Background and Aim: Visceral leishmaniasis (VL), also known as kala azar, is a parasitic disease that caused by infection with Leishmania parasites, which are spread by the bite of phlebotomine sand flies. An ultrasound examination is strongly advocated for the promote diagnosis and treatment of VL for long term follow up and evaluation of unresponsive cases. The aim of this study was to assess the consequences of VL in the liver, spleen and pancreas of affected participants by using ultrasound. Materials and Methods: A prospective cohort study was conducted in the period of January 2012 to March 2014 in the ultrasound department of Tropical Disease Hospital (TDH) in Khartoum-Sudan, among a group of 100 participants (84% males, 16% females and their ages ranges from 15 to 45 years) positive to VL and had been diagnosed by laboratory tests; either serological or Napier's Aldehyde test. The Aloka portable ultrasound machine equipped with 3.5 MHz convex probe was used for abdominal ultrasound scanning. Standard Statistical Package for the Social Sciences (SPSS) was used to analyze the results. Results: The commonest ultrasound findings in VL participants were hepatomegaly (100%), splenomegaly (100%) and ascites (50%). Other complications such as lymphadenopathy (35%), focal splenic lesions (34%), dilated portal vein (7%) and shrinkage liver (4%) were detected. Conclusion: Ultrasound scanning presents an effective role in VL, because of its ability to detect the consequences of this disease in various abdominal organs such as liver, spleen and pancreas earlier, which in turn allowing the possibility to treat these complications and prevents the deterioration of a patient's health status.

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Section: Abdominal Ultrasound Scanning Techniquementioning

confidence: 99%

Assessment of Visceral Leishmaniasis Consequences Using Ultrasound

Mahmoud¹

2014

OJRad

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“…Ultrasonography (US), computerized tomography (CT), and magnetic resonance imaging (MRI) can be used to demonstrate the flukes, dilatation of the biliary tree due to biliary obstruction caused by the parasites, the presence of stones, cholangiocarcinoma, hepatoma, liver abscesses, or cysts [8][9][10][11][12][13]. The presence of eosinophilia supports the suspicion of the presence of worms.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Management of Biliary Parasitic Diseases

et al. 2009

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“…9 Abdominal ultrasonography allows for the best evaluation of the biliary tract. 9 On the other hand, contrast-enhanced CT of the abdomen provides increased sensitivity compared with ultrasonography (95% v. 90%); better visualization of predisposing conditions including appendicitis, diverticulitis and inflammatory bowel disease; and contrast visualization of the portal vein to assess for the presence of suppurative thrombophlebitis.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Persistent epigastric pain in an 80-year-old man

MacFadden¹,

Penner²,

Gold³

2011

Canadian Medical Association Journal

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A n 80-year-old man presented with a one-week history of constant epigastric pain and left-sided exertional chest pain. On the day of presentation, he had experienced four episodes of nonbilious vomiting, but had no other gastrointestinal symptoms. He did not report fever, chills or sweats. There was no history of recent travel or contact with an ill person. His medical history included hypertension, type 2 diabetes mellitus, dyslipidemia, prior myocardial infarction with left ventricular dysfunction, and a left hemicolectomy for adenocarcinoma of the colon, which was in remission.He was afebrile, his heart rate was 112 beats/ min and his blood pressure was 123/71 mm Hg. Except for mild tenderness in the upper abdominal quadrants, his physical examination was normal. The results of laboratory investigations are summarized in Table 1. Electrocardiography showed a first-degree atrioventricular block with sinus bradycardia.The patient was admitted with a diagnosis of non-ST-segment elevation myocardial infarction and received evidence-based therapies. His chest pain resolved; however, his epigastric pain persisted.What is the next step in investigating his persistent epigastric pain? a. Abdominal ultrasonography b. Contrast-enhanced computed tomography (CT) of the abdomen c. Plain radiography of the abdomen d. Exploratory laparotomy or laparoscopy e. EsophagogastroduodenoscopyTo further investigate his epigastric pain, in association with newly elevated liver enzymes, (a) abdominal ultrasonography was first performed followed by (b) contrast-enhanced CT of the abdomen. Ultrasonography showed two hypoechoic lesions in the liver, the largest measuring 3.0 × 3.1 × 3.3 cm; one of the lesions had a cystic component. The biliary tract was normal. The contrast-enhanced CT scan of the abdomen showed two rim-enhancing lesions, the largest measuring 5.9 × 3.7 cm. A curved, calcified foreign body was identified, spanning between the gastric antrum and one of the liver lesions (Figure 1)

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Imaging of Hepatic Infections

Cited by 65 publications

References 50 publications

Assessment of Visceral Leishmaniasis Consequences Using Ultrasound

Assessment of Visceral Leishmaniasis Consequences Using Ultrasound

Endoscopic Management of Biliary Parasitic Diseases

Persistent epigastric pain in an 80-year-old man

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