Ultrasound imaging in cystic echinococcosis. Proposal of a new sonographic classification

Caremani, Marcello; Benci, Antonio; Maestrini, Romeo; Accorsi, A.; Caremani, Daniela; Lapini, L.

doi:10.1016/s0001-706x(97)00057-0

Cited by 48 publications

(31 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, sonographic features of type I or type II and lesions with rim calcification are highly suggestive of the disease as described by others [4,20]. The cases that were undiagnosed by US were mainly the solid type (type III) and most of these were initially diagnosed as malignant lesions, consistent with previous reports [20].…”

Section: Discussionsupporting

confidence: 92%

“…The cases that were undiagnosed by US were mainly the solid type (type III) and most of these were initially diagnosed as malignant lesions, consistent with previous reports [20]. The E. multilocularis type, which grows by exogenous proliferation and behaves like a malignant neoplasm [6], is known to cause such diagnostic difficulties.…”

Section: Discussionsupporting

confidence: 85%

“…Although radiological features of hydatid cyst have been well characterized by various imaging modalities [7,19], US is the examination of choice because of its high diagnostic accuracy, low cost and noninvasiveness [4,20]. Sonography not only helps in diagnosis and localization of the cysts, but also in the assessment of the state and activity of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…The well-defined unilocular cysts without detached walls are similar to any benign cyst, but considered hydatid in some endemic areas unless proved otherwise; more so if the cysts contain thick echogenic material representing hydatid 'sand' [4]. However, with relevant clinical features these cysts with thick matter or with solid appearance may mimic abscesses [4] or malignancy [20].…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

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

et al. 2002

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2002

View full text Add to dashboard Cite

show abstract

“…Cystic echinococcosis type I and type II were classified according to the criteria of Caremani and others. 6 This is an ultrasonographic classification. Type I, Simple CE: a) overall echo free; b) with fine echoes.…”

Section: Methodsmentioning

confidence: 99%

Comparisons of Serum Total IgE, IgG, and IgG1 Levels in Patients with and without Echinococcosis-Induced Anaphylactic Shock

Li¹,

Zheng²,

Gu³

et al. 2012

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. We investigated serum total immunoglobulin E (IgE), IgG, and IgG1 levels in patients with and without echinococcosis-induced anaphylactic shock. This was a case-control study of 11 patients with echinococcosis-induced anaphylactic shock and 22 echinococcosis patients with cyst rupture but without anaphylactic shock. Blood was collected before surgery (T0), at the time of cyst rupture (T1), and shock (Tx), 1 h (T2), 1 day (T3), and 1 week (T4) after cyst rupture. Serum IgE, IgG, and IgG1 were determined by enzyme-linked immunosorbent assay. Serum IgE, IgG, and IgG1 levels were significantly higher in patients who developed anaphylactic shock at all time points. Increased presurgical IgG and IgG1 levels were identified to be a significant risk factors for developing anaphylactic shock. The results showed that a serum IgG concentration of 312.25 μg/mL could be used as a cut-off point to predict whether an echinococcosis patient would develop anaphylactic shock.

show abstract

Primary hydatid cyst in the anterior thigh: Sonographic findings

Koç

Ağıldere²,

Yalçın

et al. 2004

J of Clinical Ultrasound

View full text Add to dashboard Cite

Hydatid cysts rarely involve the musculoskeletal system. We present the case of a 23-year-old man with a primary hydatid cyst between the femur and the quadriceps muscle in his left thigh. No cysts were located in the adjacent femur or quadriceps muscle. Cyst resection with sparing of the surrounding muscles, combined with anthelmintic therapy, was curative. In regions where hydatidosis is endemic, hydatid cysts should be included in the differential diagnosis of any unusual soft-tissue swelling.

show abstract

Ultrasound imaging in cystic echinococcosis. Proposal of a new sonographic classification

Cited by 48 publications

References 16 publications

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

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

Comparisons of Serum Total IgE, IgG, and IgG1 Levels in Patients with and without Echinococcosis-Induced Anaphylactic Shock

Primary hydatid cyst in the anterior thigh: Sonographic findings

Contact Info

Product

Resources

About