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Liver Hydatid Cyst:The Advances | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 12, Issue 2, 2015, Pages 566-568 | ||
| Author | ||
| Hazim Naif Barnouti | ||
| Abstract | ||
| Dramatic advances developed lately in Diagnosis and Treatment of Liver Hydatid Disease upon the understanding that it is a very wide spectrum entity, and not just a single Disease.The Diagnosis is based upon an ultrasound study showing a liver hydatid cyst or cysts combined with a positive immune-serological test for Antibodies against Echinococcusgranulosusantigens.Once Diagnosis is made,it should always be followed by Staging(Classification)of the Cyst upon which the Treatment and Prognosis will depend. There are two staging systems,The Gharbi and the W.H.O. This liver hydatid cyst staging will unify the information for each stage and allow audit to be performed[1].The Gharbisystem classifies liver hydatid cysts as follows: Stage-1:simple cyst. contains pure hydatid fluid. Stage-2:cyst with a detached germinal layer(water lily sign). Stage-3:cyst contains daughter cysts(honey comb appearance). Stage-4: cyst filled with amorphous mass(wheel spoke sign). Stage-5: cyst with a thick calcified wall.The WHO staging reveals also whether the cyst is viable(infective), or non-viable(non-infective),or is in an intermediate stage between the two. In selected cases,CT scan which is 98% accurate and is very precise for anatomical localization may be used.It identifies intraperitoneal cysts.M.R.I. provides a much better view of liquid areas within tissues. Diffusion weighted M.R.I[2]IS recently introduced. AHydatid cyst will appear Hyperintense while a non-parasitic cyst will not. Intra operative ultrasound: is crucial in radical liver hydatid cyst surgery to delineate cyst extent and its relations to major vessels and important structures to safe guard them. | ||
| Keywords | ||
| Hydatid; Dramatic advances; single Disease | ||
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