Zusammenfassung
Ein verbessertes Krankheitsverständnis der Echinokokkose und Fortschritte in der bildgebenden
Technologie ermöglichen heutzutage die nicht invasive Darstellung nicht nur von typischen
Verkalkungsstrukturen, sondern auch von frühen Veränderungen („Zyste in der Zyste”)
der Echinokokkose.
Abstract
The increased knowledge of the natural course of cystic echinococcosis has also improved
our understanding of the typical imaging features (”cysts in the cyst pattern”) which
can be nicely shown by imaging modalities, e. g., ultrasound and computed tomography.
In the very early stages of echinococcosis without calcifications, ultrasound can
depict the specific intralesional morphology in detail.
Schlüsselwörter
Ultrasonografie - Leberkrebs - Echinokokkose - kontrastverstärkter Ultraschall
Key words
ultrasonography - liver tumour - echinococcosis - contrast-enhanced ultrasound
References
- 1
Gharbi H A, Hassine W, Brauner M W. et al .
Ultrasound examination of the hydatic liver.
Radiology.
1981;
139 (2)
459-463
- 2
Pant C S, Gupta R K.
Diagnostic value of ultrasonography in hydatid disease in abdomen and chest.
Acta Radiol.
1987;
28 (6)
743-745
- 3
al Karawi M A, Shiekh Mohamed A R, Yasawy M I.
Advances in diagnosis and management of hydatid disease.
Hepatogastroenterology.
1990;
37 (3)
327-331
- 4
Suwan Z.
Sonographic findings in hydatid disease of the liver: comparison with other imaging
methods.
Ann Trop Med Parasitol.
1995;
89 (3)
261-269
- 5
International classification of ultrasound images in cystic echinococcosis for application
in clinical and field epidemiological settings.
Acta Trop.
2003;
85 (2)
253-261
- 6
Stock K, Hann v W, Holzapfel K. et al .
Endothelial adrenal cyst mimicking cystic echinococcosis in a Turkish woman.
Z Gastroenterol.
2008;
46 (10)
1198-1201
- 7
Stock K, Weyhern C H, Lersch von C.
Contrast media-enhanced and B-imaging ultrasound as a diagnostic and follow-up tool
of hepatic echinococcosis in a 19-year-old Turkish woman.
Dtsch Med Wochenschr.
2007;
132 (47)
2505-2508
- 8
Ehrhardt A R, Reuter S, Buck A K. et al .
Assessment of disease activity in alveolar echinococcosis: a comparison of contrast-enhanced
ultrasound, three-phase helical CT and [(18)F] fluorodeoxyglucose positron emission
tomography.
Abdom Imaging.
2007;
(Epub ahead of print)
- 9
Kratzer W, Reuter S, Hirschbuehl K. et al .
Comparison of contrast-enhanced power Doppler ultrasound (Levovist) and computed tomography
in alveolar echinococcosis.
Abdom Imaging.
2005;
30 (3)
286-290
- 10
Claudon M, Cosgrove D, Albrecht T. et al .
Guidelines and good clinical practice recommendations for contrast-enhanced ultrasound
(CEUS) – update 2008.
Ultraschall in Med.
2008;
29 (1)
28-44
- 11
Dietrich C F.
Comments and illustrations regarding the guidelines and good clinical practice recommendations
for contrast-enhanced ultrasound (CEUS) – update 2008.
Ultraschall in Med.
2008;
29 (Suppl 4)
S188-S202
- 12
Dietrich C F, Schreiber-Dietrich D, Schuessler G. et al .
Contrast-enhanced ultrasound of the liver – state of the art.
Dtsch Med Wochenschr.
2007;
132 (22)
1225-1231
- 13
Ignee A, Weiper D, Schuessler G. et al .
Sonographic characterisation of hepatocellular carcinoma at time of diagnosis.
Z Gastroenterol.
2005;
43 (3)
289-294
- 14
Suzuki Y, Fujimoto Y, Hosoki Y. et al .
Usefulness of contrast-enhanced wide-band Doppler ultrasonography to diagnose alveolar
echinococcosis of the liver and evaluate the effect of the treatment.
Eur J Radiol.
2003;
48 (3)
305-311
- 15
Hira P R, Shweiki H M, Francis I.
Cystic hydatid disease: pitfalls in diagnosis in the Middle East endemic area.
J Trop Med Hyg.
1993;
96 (6)
363-369
- 16
Filice C, Brunetti E.
Use of PAIR in human cystic echinococcosis.
Acta Trop.
1997;
64 (1 – 2)
95-107
- 17
Men S, Hekimoglu B, Yucesoy C. et al .
Percutaneous treatment of hepatic hydatid cysts: an alternative to surgery.
Am J Roentgenol.
1999;
172 (1)
83-89
- 18
Ustunsoz B, Akhan O, Kamiloglu M A. et al .
Percutaneous treatment of hydatid cysts of the liver: long-term results.
Am J Roentgenol.
1999;
172 (1)
91-96
- 19
Gargouri M, Ben Amor N, Ben C hehida F. et al .
Percutaneous treatment of hydatid cysts (Echinococcus granulosus).
Cardiovasc Intervent Radiol.
1990;
13 (3)
169-173
- 20
Salama H, Farid Abdel-Wahab M, Strickland G T.
Diagnosis and treatment of hepatic hydatid cysts with the aid of echo-guided percutaneous
cyst puncture.
Clin Infect Dis.
1995;
21 (6)
1372-1376
Prof. Dr. Christoph F. Dietrich
Department of Internal Medicine, Caritas-Krankenhaus Bad Mergentheim
Uhlandstr. 7
97980 Bad Mergentheim
Germany
Phone: + + 49/79 31/58 22 01
Fax: + + 49/79 31/58 22 90
Email: christoph.dietrich@ckbm.de
