Sensitivity of ultrasound in differentiation between complicated and  uncomplicated hepatic hydatid cyst

M.B.Ch.B,; Amjaad M. Hameed, Dr.; F.I.C.M.S,

	Sensitivity of ultrasound in differentiation between complicated and uncomplicated hepatic hydatid cyst
KUFA MEDICAL JOURNAL
Article 1, Volume 13, Issue 2, 2010, Pages 190-195
Authors
; Dr. Amjaad M. Hameed;
Abstract
Abstract Background Liver is the most common site of hydatid cyst and ultrasound (US) is the most commonly implied investigation ,complicated and uncomplicated hydatid cysts are considered different forms of the disease and evaluated differently. Aim of study: To determine the sensitivity of US in detecting liver hydatid cyst complications. Patients and method: This study conducted in AL-Diawanyia teaching hospital through the period from June 2007 to February 2010. A total of 54 patients( 20 males and 34female ) with a solitary hepatic hydatid cyst more than 4cm were included in this study . Patients who have hydatid cyst less than 4cm or have calcified hydatid cyst and patient who refused the operation were excluded from this study . Hepatic hydatid cysts were classified according to the US findings to complicated and uncomplicated hydatid cyst and these findings were compared with surgical findings . Results: Twenty seven cysts diagnosed as uncomplicated hydatid cyst according to US features, during surgery only 16 cyst found to be uncomplicated hydatid , most cases that diagnosed as complicated hydatid cyst were multilocular gravid hydatid cyst . Twenty seven cysts were diagnosed as complicated hydatid cyst by US & during surgery 25 cysts found to be complicated hydatid. Sensitivity of US in detection hydatid complication 69.4%, specificity 88%. Conclusion : US is a sensitive tool for diagnosing complicated hepatic hydatid cyst .

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