Evaluating Hydatid Cyst Disease of Liver by Ultrasound and Ct Scan

Abstract

BACKGROUNDUltrasound helps by detecting lesions, give idea about its internal structure and also give opportunity to evaluate other abdominal organs. However, evaluation by CT scan can give additional information which can modify the course of treatment and prognosis of patient. Hence, characterisation of lesions by CT scan is vital.The aim of this study was to evaluate hydatid cyst disease of liver by USG and CT scan for location, characterisation, age group predominance, sex predominance with demographic and clinical profile in different pathological conditions. MATERIALS AND METHODSThis descriptive study was done at Radiology Department in CRG Hospital and RD Gardi Medical College from 2015 to 2016. It is a descriptive study. 50 patients were included in the study. Their age and sex were noted. Clinical lab findings were documente d. Detailed histopathological examination of liver aspirate material was conducted and diagnosis was confirmed. The diagnosis on histopathology is correlated with USG and CT abdomen findings. RESULTThe youngest patient was 14 years old and the oldest was 72 years old. Maximum number of patients were in age group of 31 -40 years (32%). Minimum number of patients were in age group of 0 -10 years (0%). Right lobe involvement was seen in 13 (52%) patients, in 10 (40%) patients left lobe involvement was seen and in 2 (8%) patients both the lobes were involved. Pain in the right hypochondrium was the most common presentation with (64%) of cases followed by weakness with (40%) of patients. CONCLUSIONComputerised tomography is useful to determine density of a particular lesion. So useful in detection of calcification, haemorrhage, fatty changes clear and purulent fluid. It is also useful in exact determination of the extent of particular lesion and having radiation exposure, so cannot be safely used in pregnant ladies and children or repeated follow-ups. In present study, the most common affected age group was 31 -60 years to be and followed by (16%) is > 60 years. Male-to-female ratio was suggestive of male predominance (56%). Right lobe are affected most, followed by both lobes and then the left lobe. Pain in right hypochondrium is the most common presentation followed by weakness is the next most common presentation. In liver hydatid ,most common echo pattern is mix echogenic and anechoic, and right lobe is more commonly involved.

Hydatid Cyst Among Patients Attending Al-Jamhoory Teaching Hospital in Mosul, Epidemiology and Clinical Profile

“…They also ate a lot of food at restaurants (90.99%) where we found significant statistically coloration P-value (0.02) , which might be due to a lack of attention to hygiene and pollution in restaurants, which has resulted in a rise in the prevalence of illness. These findings are in line with the findings of Sarawagi et al 2018 5 . The patients that owned an animal in the house constituted (65.76%) as we found a significant statistically difference Pvalue indicating a higher infection value (0.02) among them as a consequence of direct contact with such animals, especially if there is no health knowledge and care for animal health and regular trips to the veterinarian.…”

“…. The clinical and epidemiological symptoms of hydatid cyst infection vary depending on the degree of infection, size, and location of hydatid cyst development 5 . Infection of humans with this illness has been documented in several parts of Iraq 6 .…”