3D-ultrasound in imaging, diagnosis and follow-up of an atypical hydatid cyst.
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).
Ockenga
J
J
Department of Gastroenterology and Hepatology, Medical School, Hannover, Germany.
Gebel
M
M
Caselitz
M
M
Topalidis
T
T
Boozari
B
B
Bleck
J
J
Manns
M P
MP
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
D015766:Albendazole