Clin Ultrasound.  2019 May;4(1):1-6. 10.18525/cu.2019.4.1.1.

Diagnosis and Treatment of Hepatic Hydatid Disease

• Cho E
• Jun CH
• Cho SB
• Won EJ
• Choi SK

• KMID: 2555104
• DOI: http://doi.org/10.18525/cu.2019.4.1.1

Abstract

A hydatid disease is a well-known disease caused by infection with the parasite Echinococcus. South Korea is not an endemic area, and this disease has been rarely reported. However, owing to increased numbers of immigrant and traveler, this disease is spreading globally. The liver is the most commonly involved organ, and when the liver is affected, the disease is called “hepatic hydatid disease” or “hepatic echinococcosis”. Most patients are asymptomatic for long periods of time because of the slow growth rate of the cyst, so the diagnosis is often incidental. However, symptoms and signs of hepatitis, cholangitis, secondary bacterial infection, and anaphylaxis due to cyst rupture can occur. Diagnosis of hepatic hydatid disease is made with a combination of imaging and serology. Abdominal ultrasonography is most widely used, followed by computed tomography and magnetic resonance imaging. The most commonly used serologic test is an enzyme-linked immunosorbent assay. The treatment of hepatic hydatid cyst includes percutaneous treatment, surgical resection, and pharmacotherapy. In this article, we review the diagnosis and treatment of hepatic hydatid disease.

Keyword

간; 포충증; 진단; 치료; Echinococcus; Liver; Diagnosis; Treatment