Computed Tomography (CT) findings of pulmonary hydatid cysts in children and the factors related to cyst rupture
Yükleniyor...
Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
International Scientific Information, Inc.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: The lungs are the most common site of hydatid cysts in children. Rupture is the main complication of cysts
causing morbidity and mortality. In this study we aimed to comprehensively describe the CT signs for cysts and
analyze the relationship of cyst ruptures to the diameter and location of cyst.
Material/Methods: A total of 145 cysts from 102 patients, aged 17 years or younger, who underwent a multi-detector computed
tomography (MDCT) evaluation and had surgically proven pulmonary hydatid disease were included retrospectively. The CT images were analyzed for radiologic findings and signs of cyst rupture.
Results: The cysts had a mean diameter of 5.45±3.03 cm. Most of the patients had a solitary cyst (70.6%). The most
common lobes involved were the lower lobes (58.6%). Peripherally located cysts were more common than central cysts. The overall number of ruptured cysts was 69 (47.5%). The most common sign was the waterlily sign
with a prevalence of 24.6%. After exclusion of cysts of 1 cm, the mean cyst diameter was 6.23±2.83 cm in the
unruptured group and 5.02±2.80 cm in the complete ruptured group (p=0.020). The mean cyst diameter was
6.38±3.11 cm for centrally located cysts, and 4.31±2.37 cm for peripherally located cysts (p<0.0001).
Conclusions: Pulmonary hydatid cysts commonly presents as solitary cysts with a predilection for lower lobes and the peripheral regions of the lung. Peripherally located cysts are more common but smaller than centrally located cysts.
Radiologists should also be aware of atypical imaging findings of cyst rupture, and radiologic signs should be
explored during radiologic evaluation.
Açıklama
Anahtar Kelimeler
Child, Echinococcosis, Pulmonary, Rupture, Tomography scanners, X-Ray computed
Kaynak
Medical Science Monitor
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
23
Sayı
Künye
Özmen, C. A. ve Onat, S. (2017). Computed Tomography (CT) findings of pulmonary hydatid cysts in children and the factors related to cyst rupture. Medical Science Monitor, 23, 3679-3686.
