title: 3D-ultrasound in imaging, diagnosis and follow-up of an atypical hydatid cyst.
abstract: Abdominal ultrasonography is the procedure of choice to diagnose hydatid cysts caused by Echinococcus granulosus. Recently three-dimensional ultrasonography has become available for clinical application. We report a case of an atypical seronegative hydatid disease, in which the additional use of 3D-sonography improved the sonographic diagnosis, which was confirmed by a fine needle biopsie complicated by an anaphylactic reaction. In addition the potential advantage of 3D-ultrasonography in diagnosis and follow-up hydatid disease will be discussed, especially in the context of new alternative therapeutic options like chemotherapy with benzimidazoles or the percutaneous drainage by the PAIR procedure (puncture-aspiration-injection-re-aspiration).
authors.affiliation: Department of Gastroenterology and Hepatology, Medical School, Hannover, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Ockenga
authors.forename: M
authors.initials: M
authors.lastname: Gebel
authors.forename: M
authors.initials: M
authors.lastname: Caselitz
authors.forename: T
authors.initials: T
authors.lastname: Topalidis
authors.forename: B
authors.initials: B
authors.lastname: Boozari
authors.forename: J
authors.initials: J
authors.lastname: Bleck
authors.forename: M P
authors.initials: MP
authors.lastname: Manns
mesh_terms: D000328:Adult; D015766:Albendazole / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004322:Drainage; D004334:Drug Administration Schedule; D004443:Echinococcosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D010532:Peritoneal Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D010537:Peritoneum / Q000000981:diagnostic imaging / Q000473:pathology; D014463:Ultrasonography
chemical_list: D015766:Albendazole