Ultrasound Wall-Sign in Pulmonary Echinococcosis (New Application)

Fortia, M. El; Gatit, A. El; Bendaoud, M.

doi:10.1055/s-2006-927232

Cited by 17 publications

(17 citation statements)

References 16 publications

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“…Even a thin layer (1e2 cm) of air can seriously reduce the visualization of solid lesions, regardless of their size. In certain cases, US imaging can also reveal deeper-seated pulmonary lesions, e.g., when the surrounding parenchyma is consolidated, i.e., atelectatic, or when the lesion is surrounded by a pleural effusion, which acts as an acoustic window [16].…”

Section: Pulmonary Diseasesmentioning

confidence: 99%

Role of thoracic ultrasound in the assessment of pleural and pulmonary diseases

Sperandeo

Filabozzi

Varriale

et al. 2008

Journal of Ultrasound

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Although numerous studies have been conducted on the use of ultrasonography (US) for the examination of thoracic structures, this procedure is not as widely accepted as abdominal US. The newer portable scanners can be used at the bedside to detect pleural malignancies and effusions, as well as peripheral lung nodules of the lung, even in seriously ill patients. Focal thickening of the pleura can be easily detected with US and further investigated with a US-guided biopsy. US guidance can also be used during percutaneous drainage of pleural effusion or transthoracic biopsy of peripheral lung lesions, thus reducing the incidence of procedure-related pneumothorax to almost zero. We review the current literature on thoracic US and present our clinical experience with the technique in large groups of patients with pleural and peripheral lung diseases.Sommario L'ecografia del torace non è ancora diffusa quanto quella addominale, nonostante una notevole quantità di studi ne attesti l'importanza. Le apparecchiature più recenti permettono di diagnosticare neoplasie, versamenti pleurici e noduli polmonari periferici al letto del paziente, anche nei casi più gravi. L'ispessimento pleurico focale è facilmente messo in luce dall'ecografia e può essere ulteriormente studiato tramite la biopsia ecoguidata. Questa può essere praticata anche su lesioni polmonari periferiche, riducendo quasi a zero il rischio di pneumotorace. In questo articolo esaminiamo la letteratura recente sull'ecografia del torace e presentiamo la nostra esperienza clinica su numerosi pazienti con patologia pleurica e della periferia polmonare. ª

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Section: Pulmonary Diseasesmentioning

confidence: 99%

Role of thoracic ultrasound in the assessment of pleural and pulmonary diseases

Sperandeo

Filabozzi

Varriale

et al. 2008

Journal of Ultrasound

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“…The specificity was 66% and 100% in the univesicular and multivesicular cysts, respectively. 19 Plain chest x-ray detected only 57 of 79 pulmonary cysts detected by CT in the study by Erdem et al 20 Magnetic resonance imaging can also be used in the diagnosis of pulmonary hydatid disease. 21,22 Laboratory testing should be used either in highly suspicious cases or for the postoperative follow-up of pulmonary hydatid cyst disease.…”

Section: Discussionmentioning

confidence: 99%

Possible Anaphylactic Reaction Due to Pulmonary Hydatid Cyst Rupture Following Blunt Chest Trauma: A Case Report and Review of the Literature

Topuzlar

Eken

Ozkurt

et al. 2008

Wilderness & Environmental Medicine

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A hydatid cyst is a parasitic disease caused by the tapeworm Echinococcus granulosus. It is endemic in many areas, including New Zealand, Australia, and the Mediterranean region. Pulmonary hydatid disease can be diagnosed incidentally in asymptomatic patients or may cause symptoms such as cough, chest pain, dyspnea, fever, and hemoptysis both in patients with ruptured and nonruptured cysts. Anaphylactic reaction is a rare presentation of pulmonary hydatid cyst disease. In this case report, we report an unusual anaphylactic reaction following pulmonary hydatid cyst rupture secondary to blunt chest trauma.

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“…On their own, these images were not pathognomonic of pulmonary echinococcosis. Ultrasonography has recently been found to be particularly useful in the diagnosis of pulmonary echinococcal cysts, revealing a double-layered cystic wall that is very indicative of such cysts, with specificities of 66% for the unilocular cysts and 100% for the multivasicular (El Fortia et al, 2006). Although eosinophilia (with .500 eosinophils/ml) may help confirm a suspected case of pulmonary echinococcosis (Jerray et al, 1992), it is only observed in 20%-30% of echinococcosis cases, becoming more common after cyst rupture.…”

Section: Discussionmentioning

confidence: 99%