Evaluation of intrahepatic manifestation and distant extrahepatic disease in alveolar echinococcosis.
Alveolar echinococcosis
Echinococcus multilocularis
Echinococcus multilocularis Ulm classification for computed tomography
Extrahepatic manifestation
Vascular/biliary involvement
XUUB project
Journal
World journal of gastroenterology
ISSN: 2219-2840
Titre abrégé: World J Gastroenterol
Pays: United States
ID NLM: 100883448
Informations de publication
Date de publication:
07 Aug 2020
07 Aug 2020
Historique:
received:
03
04
2020
revised:
09
06
2020
accepted:
23
07
2020
entrez:
28
8
2020
pubmed:
28
8
2020
medline:
15
5
2021
Statut:
ppublish
Résumé
The main endemic areas of alveolar echinococcosis (AE) are in Central Europe and Western China. Both the infiltration of intrahepatic vascular and bile duct structures as well as extrahepatic disease can lead to further complications and may increase morbidity in patients with AE. To evaluate vascular/biliary involvement in hepatic AE and its distant extrahepatic disease manifestations in an international collective was the aim. Consecutively, five experienced examiners evaluated contrast-enhanced abdominal computed tomography (CT) scans for 200 patients with hepatic AE of each of four locations ( Distant extrahepatic AE manifestations were significantly more frequent in China than in Europe ( Different CT morphological patterns of hepatic AE lesions influence vascular/biliary involvement and the occurrence of distant extrahepatic manifestations. There are intercontinental differences regarding the characteristics of AE manifestation.
Sections du résumé
BACKGROUND
BACKGROUND
The main endemic areas of alveolar echinococcosis (AE) are in Central Europe and Western China. Both the infiltration of intrahepatic vascular and bile duct structures as well as extrahepatic disease can lead to further complications and may increase morbidity in patients with AE.
AIM
OBJECTIVE
To evaluate vascular/biliary involvement in hepatic AE and its distant extrahepatic disease manifestations in an international collective was the aim.
METHODS
METHODS
Consecutively, five experienced examiners evaluated contrast-enhanced abdominal computed tomography (CT) scans for 200 patients with hepatic AE of each of four locations (
RESULTS
RESULTS
Distant extrahepatic AE manifestations were significantly more frequent in China than in Europe (
CONCLUSION
CONCLUSIONS
Different CT morphological patterns of hepatic AE lesions influence vascular/biliary involvement and the occurrence of distant extrahepatic manifestations. There are intercontinental differences regarding the characteristics of AE manifestation.
Identifiants
pubmed: 32848335
doi: 10.3748/wjg.v26.i29.4302
pmc: PMC7422544
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4302-4315Informations de copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors declare that they have no competing interests.
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