Application of Ultrasound Classification of Hepatic Hydatid Cyst in Iraqi Population
Al- Anbar Medical Journal,
2020, Volume 16, Issue 1, Pages 3-7
Abstract
Background:Cystic Echinococcosis (CE) is an endemic disease in Iraq. Its classification is crucialfor proper management.
Objectives:To apply ultrasound study in classifying hepatic hydatid cyst disease in the Iraqi
population, which is essential in treatment planning.
Materials and methods:This prospective study conducted during a period from March 2017 to
March 2018, in the Gastroenterology and Hepatology Teaching Hospital/ Medical City/ Baghdad.
A total of 100 patients with a diagnosis of hydatid cyst by ultrasound were followed-up after
surgery and histopathology were proved hydatid cyst. Their age range was 10-79 years (mean age
32±12.5), female to male ratio 1.6:1.The standardized WHO classification of CE was used in
this study.
Results:CE class I was noticing in (35%), class II (35%), class III (17%), class IV (7%), and class
V (6%).
Conclusion:WHO ultrasound classification of hepatic hydatid cyst becomes more popular and
preferable than other classifications. CE class I and II were the most common classes in the Iraqi
population. We strongly advise to use this classification in clinical practice and scientific researches.
1] O. Amahmid, Y. El. Guamri, K. Zenjari, S. Bouhout,
MA. Moh., and F. Boraam et al. The pattern of cystic
echinococcosis in children in an endemic area in morocco.
J Parasit Dis, 43(2):209–214, 2019.
[2] E. Brunetti, P. Kern, and D. A. Vuitton. Expert consen-
sus for the diagnosis and treatment of cystic and alveolar
echinococcosis in humans.Acta Trop., 114(1):1–16, 2010.
[3] M. D. Sayek Iskender and M. D. Onat Demiral. Diagnosis
and treatment of uncomplicated hydatid cyst of the liver.
World J. Surg., 25(1):21–27, 2001.
[4] C. N. L. Macpherson and R. Milner. Performance char-
acteristics and quality control of community based ul-
trasound surveys for cystic and alveolar echinococcosis.
Acta Trop., 85(2):203–209, 2003.
[5] H.A.Gharbi,W.Hassine,M.W.Brauner,and
K. Dupuch. Ultrasound examination of the hydatic liver.
Radiology, 139(2):459–463, 1981.
[6] D. B. Lewall and S. J. McCorkell. Hepatic echinococcal
cysts: sonographic appearance and classification.Radi-
ology, 155(3):773–775, 1985.
[7] K. T. Kjossev and J. E. Losanoff. Hydatid cysts of the
liver: Tn (r) c classification.Int. Surg., 83(4):311–313,
1998.
[8] W. H. O. I. W. Group.International classification of
ultrasound images in cystic echinococcosis for application
in clinical and field epidemiological settings.Acta Trop.,
85(2):253–261, 2003.
[9] E. Mirabile,N. Solomon,P. J. Fields,and C. N. L.
Macpherson. Progress towards international adoption of
the world health organization ultrasound classification of
cystic echinococcosis.Acta Trop., 189:6–9, 2019.
[10] A. M. Hameed.Sensitivity of ultrasound in differenti-
ation between complicated and uncomplicated hepatic
hydatid cyst.KUFA Med. J., 13(2):190–195, 2010.
[11] K. ABOU-DAOUD and C. W. SCHWABE. Epidemiol-
ogy of echinococcosis in the middle east. 3. a study of
hydatid disease patients from the city of beirut.Am. J.
Trop. Med. Hyg., 13:681–685, 1964.
[12] A. Sarsam.Surgery of pulmonary hydatid cysts review
of 155 cases.J Thoracvasc Surg., 62:663–668, 1971.
[13] J. Akther, N. Khanam, and S. Rao.Clinico epidemio-
logical profile of hydatid diseases in central india, a ret-
rospective and prospective study.Int J Biol Med Res,
2(3):603–606, 2011.
[14] A. Alghoury et al. Hydatid disease in yemeni patients at-
tending public and private hospitals in sanaa city, yemen.
Oman Med. J., 25(2):88, 2010.
[15] A. S. Hassoun and M. Al-Salihi. Views on the epidemi-
ology and control of hydatid disease in iraq.Iraqi med j,
21:39–51, 1973.
[16] T. HS. Hydatid disease in iraq.Bull Endem Dis Baghdad,
28:67–73, 1987.
[17] H. Mirzanejad-Asl, M. Ghoreishi, A. Ghahramani, and
W. Mehmandar. Serological and sonographical survey of
hydatid disease in moghan plain of iran.Res. J. Med.
Sci., 4(2):75–80, 2010.
[18] Md Khader Faheem et al. The scenario of hydatid cyst
disease in epidemic areas of andhra pradesh - evaluation
and analysis.Int J Res Dev Health, 1(3):120–128, 2013.
[19] C. Manterola and T. Otzen.Hepatic echinococcosis
with thoracic involvement. clinical characteristics of a
prospective series of cases.Ann. Hepatol., 16(4):599–606,
2017.
[20] K. Kalinova.Imaging (ultrasonography, computed to-
mography) of patients of hydatid liver disease.Bulg J
Vet Med, 10(1):45–51, 2007.
[21] A. A. Salama, A. A. Othman, and H. A. Zayed.Cys-
tic echinococcosis in the middle region of the nile delta,
egypt:Clinical and radiological characteristics.Egypt.
J. Radiol. Nucl. Med., 45(3):641–449, 2014.
[22] A. Giorgio et al. Hydatid liver cyst: an 11year experience
of treatment with percutaneous aspiration and ethanol
injection.J. ultrasound Med., 20(7):729–738, 2001.
- Article View: 17
- PDF Download: 7