Diagnosis of Cystic Hydatid Disease: Role of Aspiration Cytology

Hira, P. R.; Lindberg, Lars‐Göran; Francis, Isaam M.; Shweiki, H. M.; Shaheen, Yanal; Levén, H.; Behbehani, K.

doi:10.1016/s0140-6736(88)90470-9

Cited by 76 publications

(36 citation statements)

References 17 publications

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“…Nonetheless, some reports have shown it to be a relatively safe procedure for the diagnosis of hydatid cysts [22][23][24]. Von Sinner et al [8], in a review of 40 studies of FNAC of the hydatid cyst involving 31 patients over a 15-year period, recorded only 6 complications, of which only 1 patient had a severe anaphylactic reaction with a sudden drop in blood pressure and signs of shock.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Abdominal Hydatid Cyst Disease: The Role of Ultrasound and Ultrasound-Guided Fine Needle Aspiration Cytology

et al. 2002

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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 I: single or multiple well-defined cysts, with or without detached or collapsed wall and with or without echogenic contents; type II: 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 I, 16/19 (84%), type II, 21/23 (91%), type III, 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.

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Section: Discussionmentioning

confidence: 99%

Diagnosis of Abdominal Hydatid Cyst Disease: The Role of Ultrasound and Ultrasound-Guided Fine Needle Aspiration Cytology

et al. 2002

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“…To prevent the spillage of cyst contents in such an urgent situ ation, careful aspiration of the cyst fluid followed by hypertonic saline irrigation is strongly advised. Similarly, Hira et al [39] state that in case of an inadvertently punc tured hydatid cyst, as much fluid as possible should be aspirated to keep the intracystic pressure low, so as to pre vent leakage. The cavity should be irrigated with adequate sterilizing agents and a confirming CT should be ob tained.…”

Section: Discussionmentioning

confidence: 99%

“…The cavity should be irrigated with adequate sterilizing agents and a confirming CT should be ob tained. A formal craniotomy and excision of the cyst wall should succeed the inadvertent, in this specific case the emergency puncture [39][40][41], Initiation of mebendazole or a similar antiparasite therapy even before a planned hydatid cyst operation in neurosurgery may be a clever strategy.…”

Section: Discussionmentioning

confidence: 99%

Three Unusual Cases of Intracranial Hydatid Cyst in the Pediatric Age Group

et al. 1997

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Three unusual cases of hydatid disease with central nervous system involvement are reported in the pediatric age group: a 9-year-old boy with a total number of 12 intracranial secondary hydatid cysts; a 13-year-old girl admitted in areflexia who survived after cyst puncture and successive mass removal, and a 14-year-old boy with a huge intracranial hydatid cyst weighing 770 g which was extracted without rupture. The article discusses the surgical problems, and the related literature is reviewed.

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“…15 Cytology has not usually been considered a primary diagnostic technique for the detection of echinococcosis; fine needle aspiration should not be attempted because of the danger of a severe anaphylactic reaction, 1 although unintended percutaneous aspirations have occurred without complications. 6,9,11 Identification of hooklets, scolices or both in smears of cyst fluid (obtained either at the time of surgery or from surgically removed cysts) provides a rapid and definitive diagnosis; if Echinococcus is identified, the clinician can be promptly alerted to the possibility of an allergic reaction. 7,15 Scolices of E granulosus are seen as polychromatic, oval structures bearing a crown of hooklets, which are sickleshaped, refractile entities that can be seen also scattered in the background.…”

Section: Discussionmentioning

confidence: 99%