Milzzysten als Zufallsbefund – was tun?

Schott, Adolf; Husak, R.; Kempf, Mme. Eliane

doi:10.1055/s-0034-1387279

Cited by 2 publications

(2 citation statements)

References 7 publications

(16 reference statements)

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“…It is believed that the oncosphere may migrate to this location from the portal vein during bouts of increased abdominal pain. 10 , 12 , 39 , 43 , 44 CE of the urinary tract is uncommon, and the kidneys are the most frequently involved organs of the urinary tract. CE of the kidney occurs usually as isolated disease.…”

Section: Discussionmentioning

confidence: 99%

Clinical characterization of unusual cystic echinococcosis in southern part of Turkey

Akçam

Ülkü

Koltas

et al. 2014

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVESThe incidence of primary extrahepatic cystic echinococcosis (CE) is rare. Generally, radiological and serological findings can help establish the diagnosis of hepatic and pulmonary CE, but a CE in an unusual location with atypical radiological findings may complicate the differential diagnosis. The objective of this study is to present the characteristics of cases with extrahepatic CE in respect of sites of involvement, clinical presentations, radiological findings, serological diagnostic evaluations, and outcomes of infected patients.DESIGN AND SETTINGSA retrospective analysis of surgically treated CE was conducted between January 1993 and January 2014 in the General Surgery, Pediatric Surgery, Urology, Cardiovascular Surgery, Neurosurgery, and Orthopedics departments of University of Cukurova, Faculty of Medicine, Balcalı Hospital.PATIENTS AND METHODSAmong the 661 patients managed for CE, 134 had unusual sites of involvement. Radiological and serological examinations were used to differentiate CE from alveolar echinococcosis.RESULTSOf 134 cases with unusual sites of involvement, 32 cases had liver CE (23.9%), 7 cases had lung CE (5.2%), and 2 cases had concomitant liver and lung CE (1.5%). In 93 (69.4%) cases, unusual organ involvement was isolated without any liver or lung involvement. The mean age was 45 years. Abdominal pain was the main symptom and was found in 104 patients. Thirty-one (23.1%) of 134 extrahepatic CE cases were evaluated as negative with indirect hemagglutination (IHA). However, positive results were obtained in 54 cases evaluated with Echinococcus granulosus IgG Western blot (WB), including 10 IHA-negative cases.CONCLUSIONCE with unusual localizations may cause serious problems of diagnostic confusion. The combination of clinical history, radiological findings, and serological test results (especially the WB) are valuable in diagnosing extrahepatic CE.

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Section: Discussionmentioning

confidence: 99%

Clinical characterization of unusual cystic echinococcosis in southern part of Turkey

Akçam

Ülkü

Koltas

et al. 2014

Annals of Saudi Medicine

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“…Finally, regarding the spleen, notably elevated CRP can be seen in spleen volvulus, spleen thrombosis and infarction, as well as spleen abscess (135 mg/L case-reported for abscess; mean value of a study on spleen infarction was approx. half of this value) [ 653 , 654 , 655 , 656 , 657 , 658 ].…”

Section: Current Evidence On C-reactive Protein and Potential Conditionsmentioning

confidence: 99%

C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians

Mouliou

2023

Diseases

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The current literature provides a body of evidence on C-Reactive Protein (CRP) and its potential role in inflammation. However, most pieces of evidence are sparse and controversial. This critical state-of-the-art monography provides all the crucial data on the potential biochemical properties of the protein, along with further evidence on its potential pathobiology, both for its pentameric and monomeric forms, including information for its ligands as well as the possible function of autoantibodies against the protein. Furthermore, the current evidence on its potential utility as a biomarker of various diseases is presented, of all cardiovascular, respiratory, hepatobiliary, gastrointestinal, pancreatic, renal, gynecological, andrological, dental, oral, otorhinolaryngological, ophthalmological, dermatological, musculoskeletal, neurological, mental, splenic, thyroid conditions, as well as infections, autoimmune-supposed conditions and neoplasms, including other possible factors that have been linked with elevated concentrations of that protein. Moreover, data on molecular diagnostics on CRP are discussed, and possible etiologies of false test results are highlighted. Additionally, this review evaluates all current pieces of evidence on CRP and systemic inflammation, and highlights future goals. Finally, a novel diagnostic algorithm to carefully assess the CRP level for a precise diagnosis of a medical condition is illustrated.

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Milzzysten als Zufallsbefund – was tun?

Abstract: From our point of view also in extended non-parasitic splenic cysts it is reasonable to follow a nonoperative regime as long as clinical complaints, parasitic genesis and malignant process can be excluded.

Cited by 2 publications

References 7 publications

Clinical characterization of unusual cystic echinococcosis in southern part of Turkey

Clinical characterization of unusual cystic echinococcosis in southern part of Turkey

C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians

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