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.

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