Hepatic hydatid disease complications: review of imaging findings and clinical implications
Khalefa Ali Alghofaily1, Mnahi Bin Saeedan2, Ibtisam Musallam Aljohani3
1Medical Imaging Department, College of Medicine, Al-Qassim University, Buraydah, Saudi Arabia.
Insights
Hydatid disease, a parasitic infection, commonly affects the liver. This study details imaging findings for both common and rare hepatic hydatid cyst complications, aiding clinical management.
Area of Science:
- Medicine
- Parasitology
- Radiology
Background:
- Hydatid disease is a zoonotic parasitic infection.
- The liver is the most frequently impacted organ.
- Complications of hepatic hydatid disease are frequent and varied.
Purpose of the Study:
- To present a comprehensive overview of imaging findings for hepatic hydatid disease complications.
- To cover both common and rare complications.
- To correlate imaging findings with clinical implications and management.
Main Methods:
- Review of imaging findings (e.g., ultrasound, CT, MRI) of hepatic hydatid disease.
- Correlation of imaging findings with clinical presentations.
- Analysis of different medical and surgical management strategies based on complications.
Main Results:
- Common complications include cyst superinfection, intrabiliary rupture, and direct rupture into body cavities.
- Rare complications involve rupture into hollow viscera, abdominal wall invasion, and vascular issues like portal vein thrombosis and Budd-Chiari syndrome.
- Imaging findings vary significantly based on the type of complication.
Conclusions:
- Hepatic hydatid disease presents with diverse complications.
- Accurate imaging interpretation is crucial for appropriate diagnosis and management.
- Understanding the spectrum of complications guides clinical decision-making and patient care.
Abstract:
Hydatid disease is a zoonotic parasitic disease. The liver is the most commonly affected organ, and hepatic hydatid disease complications are not uncommon. Hydatid cyst superinfection, intrabiliary rupture, and direct rupture into the thoracic or abdominal cavities are the frequently encountered complications. Other exceedingly rare complications include rupture of the cyst into hollow viscera, abdominal wall invasion, and hepatic vasculature-related complications such as portal vein thrombosis and Budd-Chiari syndrome. These complications have variable clinical presentations and imaging findings and require different medical and surgical managements. We aim to provide a spectrum of imaging findings of different common and uncommon complications of hepatic hydatid disease with emphasis on their clinical implications.
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