Radiation Diagnostics of Liver Echinococcosis
Abstract
The results of radiological diagnostics of liver echinococcosis in 19 patients are presented. In 4 of them echinococcosis of the liver was accompanied by echinococcosis of the lung. The results of sonography, KT, MRI are analyzed. 4 variants of echographical macrostructure have been defined. CT made it possible to differentiate echinococcosis cysts from non-parasitic single and multiple cysts of the liver, even in the absence of other differential-diagnostic signs. In 70% of the cases echinococcosis cysts had a capsule 2-3 mm of thickness. In 1/3 of the cases a partial or total calcification of the capsule was detected, which was the specific sign of a parasitic involvement. In 23% of the patients there were filial cysts and multiple lesions of abdominal organs (spleen, kidneys, adrenals). MRI allowed to detect morphological stages of parasite, which was important for planning the method of surgery. In conclusion, the complex radiological diagnostics is able to detect the hydatid form of a liver echinococcosis with a great degree of certainty, to perform differential diagnostics with other diseases.
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