Al- Anbar Medical Journal

Application of Ultrasound Classification of Hepatic Hydatid Cyst in Iraqi Population

Document Type : Original articles

Authors

1 Department of Radiology, Al-Ramadi Maternity and Children Teaching Hospital, Ramadi, Anbar, Iraq

2 Institute of Radiology, Medical City, Baghdad, Iraq

Abstract

Background: Cystic Echinococcosis (CE) is an endemic disease in Iraq. Its classification is crucial for 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.

Keywords

Main Subjects

References
[1]      O Amahmid, Y El Guamri, K Zenjari, S Bouhout, MA Moh, F Boraam, et al. The pattern of cystic echinococcosis in children in an endemic area in Morocco. J Parasit Dis. 2019;43(2):209–14. 
 [2]     E. Brunetti, P. Kern, and D. A. Vuitton, “Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans,” Acta Trop., vol. 114, no. 1, pp. 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., vol. 25, no. 1, pp. 21–27, 2001.
[4]      C. N. L. Macpherson and R. Milner, “Performance characteristics and quality control of community based ultrasound surveys for cystic and alveolar echinococcosis,” Acta Trop., vol. 85, no. 2, pp. 203–209, 2003.
[5]      H. A. Gharbi, W. Hassine, M. W. Brauner, and K. Dupuch, “Ultrasound examination of the hydatic liver.,” Radiology, vol. 139, no. 2, pp. 459–463, 1981.
[6]      D. B. Lewall and S. J. McCorkell, “Hepatic echinococcal cysts: sonographic appearance and classification.,” Radiology, vol. 155, no. 3, pp. 773–775, 1985.
[7]      K. T. Kjossev and J. E. Losanoff, “Hydatid cysts of the liver: TN (R) C classification.,” Int. Surg., vol. 83, no. 4, pp. 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., vol. 85, no. 2, pp. 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., vol. 189, pp. 6–9, 2019.
[10]    A. M. Hameed, “Sensitivity of ultrasound in differentiation between complicated and uncomplicated hepatic hydatid cyst,” KUFA Med. J., vol. 13, no. 2, pp. 190–195, 2010.
[11]    K. ABOU-DAOUD and C. W. SCHWABE, “EPIDEMIOLOGY OF ECHINOCOCCOSIS IN THE MIDDLE EAST. 3. A STUDY OF HYDATID DISEASE  PATIENTS FROM THE CITY OF BEIRUT.,” Am. J. Trop. Med. Hyg., vol. 13, pp. 681–685, Sep. 1964.
[12]    A. Sarsam, “Surgery of pulmonary hydatid cysts Review of 155 cases,” J Thoracvasc Surg, vol. 62, pp. 663–668, 1971.
[13]    J. Akther, N. Khanam, and S. Rao, “Clinico epidemiological profile of hydatid diseases in central India, a retrospective and prospective study,” Int J Biol Med Res, vol. 2, no. 3, pp. 603–606, 2011.
[14]    A. Alghoury, E. El-Hamshary, A. Azazy, E. Hussein, and H. Z. Rayan, “Hydatid disease in Yemeni patients attending public and private hospitals in Sana’a city, Yemen,” Oman Med. J., vol. 25, no. 2, p. 88, 2010.
[15]    A. S. Hassoun and M. Al-Salihi, “Views on the epidemiology and control of hydatid disease in Iraq,” Iraqi med j, vol. 21, pp. 39–51, 1973.
[16]    T. HS, “Hydatid disease in Iraq,” Bull Endem Dis Baghdad, vol. 28, pp. 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., vol. 4, no. 2, pp. 75–80, 2010.
[18]  et al. T. scenario of hydatid cyst disease in epidemic areas of A. P. -evaluation and analysis. I. J. R. D. H. 2013;1(3):120–8. Md Khader Faheem N, Nusrath N, Sundara Rao B Syama, Rajaram G, Sushma C, Subramanyam Y, "The scenario of Hydatid cyst disease in epidemic areas of Andhra Pradesh–evaluation and analysis," Int J Res Dev Heal. August, vol. 1, no. 3, pp. 120–128, 2013.
[19]    C. Manterola and T. Otzen, “Hepatic echinococcosis with thoracic involvement. Clinical characteristics of a prospective series of cases,” Ann. Hepatol., vol. 16, no. 4, pp. 599–606, 2017.
[20]    K. Kalinova, “Imaging (ultrasonography, computed tomography) of patients of hydatid liver disease,” Bulg J Vet Med, vol. 10, no. 1, pp. 45–51, 2007.
[21]    A. A. Salama, A. A. Othman, and H. A. Zayed, “Cystic echinococcosis in the middle region of the Nile Delta, Egypt: Clinical and radiological characteristics,” Egypt. J. Radiol. Nucl. Med., vol. 45, no. 3, pp. 641–649, 2014.
[22]    A. Giorgio et al., “Hydatid liver cyst: an 11‐year experience of treatment with percutaneous aspiration and ethanol injection.,” J. ultrasound Med., vol. 20, no. 7, pp. 729–738, 2001.
Al- Anbar Medical Journal
Volume 16, Issue 1
June 2020
Page 3-7
Files
Share
Export Citation
Statistics