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CC BY-NC-ND 4.0 · Ultraschall Med 2022; 43(02): 120-145
DOI: 10.1055/a-1694-5552
Continuing Medical Education

Echinococcosis: a Challenge for Liver Sonography

Echinokokkose: eine Herausforderung für die Lebersonografie
Wolfgang Kratzer
  Department of Internal Medicine I, Universitätsklinikum Ulm, Germany
,
Henriette Weimer
  Department of Internal Medicine I, Universitätsklinikum Ulm, Germany
,
Julian Schmidberger
  Department of Internal Medicine I, Universitätsklinikum Ulm, Germany
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Corrected by:

Correction: Echinococcosis: a Challenge for Liver SonographyUltraschall Med 2022; 43(02): e11-e11
DOI: 10.1055/a-1787-6986

Abstract

The sonographic findings in alveolar echinococcosis (AE) and cystic echinococcosis (CE) are complex and can pose significant differential diagnostic problems. They may present like complicated cysts or malignant tumors in the liver. We will discuss the diagnostic difficulties and pitfalls of these two diseases based on case histories.

Zusammenfassung

Die sonografischen Befunde bei Alveolärer Echinokokkose (AE) und Zystischer Echinokokkose (CE) sind komplex und können erhebliche differenzialdiagnostische Probleme aufwerfen. Sie können sich wie komplizierte Zysten oder wie bösartige Tumore in der Leber präsentieren. Wir werden die diagnostischen Schwierigkeiten und Fallstricke dieser beiden Erkrankungen anhand von Fallbeispielen diskutieren.



Publication History

Article published online:
24 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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Letter to this article:

Inaccurate Sonographic Diagnosis of Hepatic CE Can Be Dangerous – Remarks on “Echinococcosis: A Challenge for Liver Sonography” by W. Kratzer et al Ultraschall in Med. 24 February 2022Ultraschall Med 2022; 43(06): e135-e136
DOI: 10.1055/a-1921-1990

 

  • Literatur

  • 1 Kaltenbach TE, Engler P, Kratzer W. et al. Prevalence of benign focal liver lesions: ultrasound investigation of 45319 hospital patients. Abdom Radiol (NY) 2016; 41: 25-32
    CrossrefPubMedGoogle Scholar
  • 2 Scharitzer M, Tamandl D, Ba-Ssalamah A. Zufallsbefunde von Leber, Gallensystem, Pankreas und Milz bei asymptomatischen Patienten: Bewertung und Managementempfehlung [Incidental findings of liver, biliary system, pancreas and spleen in asymptomatic patients: Assessment and management recommendations]. Radiologe 2017; 57: 270-278
    CrossrefPubMedGoogle Scholar
  • 3 Stojkovic M, Mickan C, Weber TF. et al. Pitfalls in diagnosis and treatment of alveolar echinococcosis: a sentinel case series. BMJ Open Gastroenterol 2015; 2: e000036
    CrossrefPubMedGoogle Scholar
  • 4 Henne-Bruns D, Barth TFE, Gräter T. et al. Echinokokkosen der Leber. Allgemein- und Viszeralchirurgie up2date 2016; 10: 369-394
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Ammann RW, Eckert J. Cestodes. Echinococcus. Gastroenterol Clin North Am 1996; 25: 655-689
    CrossrefPubMedGoogle Scholar
  • 6 Schmidberger J, Kratzer W, Stark K. et al. Alveolar echinococcosis in Germany, 1992–2016. An update based on the newly established national AE database. Infection 2018; 46: 197-206
    CrossrefPubMedGoogle Scholar
  • 7 Baumann S, Shi R, Liu W. et al. Worldwide literature on epidemiology of human alveolar echinococcosis: a systematic review of research published in the twenty-first century. Infection 2019; 47: 703-727
    CrossrefPubMedGoogle Scholar
  • 8 Pawlowski ZS, Vuitton DA, Ammann RW. et al. WHO/OIE Manual on echinococcosis in humans and animals: a public health problem of global concern. World Organisation for Animal Health and WHO 2001; 1-286
    PubMedGoogle Scholar
  • 9 Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 2004; 17: 107-135
    CrossrefPubMedGoogle Scholar
  • 10 Romig T, Thoma D, Weible AK. Echinococcus multilocularis--a zoonosis of anthropogenic environments?. J Helminthol 2006; 80: 207-212
    CrossrefPubMedGoogle Scholar
  • 11 Stojkovic M, Hoffmann H, Mehrabi A. et al. Diagnose und Therapie der Echinokokkosen. Dtsch Med Wochenschr 2017; 142: 1111-1116
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Graeter T, Ehing F, Oeztuerk S. et al. Hepatobiliary complications of alveolar echinococcosis: A long-term follow-up study. World J Gastroenterol 2015; 21: 4925-4932
    CrossrefPubMedGoogle Scholar
  • 13 Sezgin O, Altintaş E, Saritaş U. et al. Hepatic alveolar echinococcosis: clinical and radiologic features and endoscopic management. J Clin Gastroenterol 2005; 39: 160-167
    PubMedGoogle Scholar
  • 14 Kodama Y, Fujita N, Shimizu T. et al. Alveolar echinococcosis: MR findings in the liver. Radiology 2003; 228: 172-177
    CrossrefPubMedGoogle Scholar
  • 15 Azizi A, Blagosklonov O, Lounis A. et al. Alveolar echinococcosis: correlation between hepatic MRI findings and FDG-PET/CT metabolic activity. Abdom Imaging 2015; 40: 56-63
    CrossrefPubMedGoogle Scholar
  • 16 Didier D, Weiler S, Rohmer P. et al. Hepatic alveolar echinococcosis: correlative US and CT study. Radiology 1985; 154: 179-186
    CrossrefPubMedGoogle Scholar
  • 17 Kratzer W, Gruener B, Kaltenbach TE. et al. Proposal of an ultrasonographic classification for hepatic alveolar echinococcosis: Echinococcosis multilocularis Ulm classification-ultrasound. World J Gastroenterol 2015; 21: 12392-12402
    CrossrefPubMedGoogle Scholar
  • 18 Kratzer W, Schmidberger J, Hillenbrand A. et al. Alveoläre Echinokokkose: Eine Herausforderung für Diagnostik, Therapie und Klinisches Management. Epid Bull 2019; 41: 423-430
    CrossrefPubMedGoogle Scholar
  • 19 Brehm K. Die Echinokokkose – Eine Übersicht und neue Erkenntnisse in der Diagnostik, Therapie und Parasitenbiologie. Epid Bull 2017; 15: 127-132
    PubMedGoogle Scholar
  • 20 Dietrich CF, Tana C, Caraiani C. et al. Contrast enhanced ultrasound (CEUS) imaging of solid benign focal liver lesions. Expert Rev Gastroenterol Hepatol 2018; 12: 479-489
    CrossrefPubMedGoogle Scholar
  • 21 Mandal S, Mandal MD. Human cystic echinococcosis: epidemiologic, zoonotic, clinical, diagnostic and therapeutic aspects. Asian Pac J Trop Med 2012; 5: 253-260
    CrossrefPubMedGoogle Scholar
  • 22 Wuestenberg J, Gruener B, Oeztuerk S. et al. Diagnostics in cystic echinococcosis: serology versus ultrasonography. Turk J Gastroenterol 2014; 25: 398-404
    CrossrefPubMedGoogle Scholar
  • 23 Brunetti E, Kern P, Vuitton DA. Writing Panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 2010; 114: 1-16
    CrossrefPubMedGoogle Scholar
  • 24 Brunetti E, Tamarozzi F, Macpherson C. et al. Ultrasound and Cystic Echinococcosis. Ultrasound Int Open 2018; 4: E70-E78
    Article in Thieme ConnectPubMedGoogle Scholar