Evaluation of 170 Followed-up Cases Treated for Hydatid Disease: A Multicentre Study
| Autor: | Ercan Yenilmez, Rıza Aytaç Çetinkaya, Derya Seyman, Sukran Kose, Esra Canbolat Ünlü, Esra Zerdali, Tunahan Ayaz, Deniz Kakalicoglu, Levent Gorenek, Saliha Ayan, Sinem Akkaya Işik |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain Delayed Diagnosis Turkey Nausea lcsh:Medicine Physical examination lcsh:Infectious and parasitic diseases Echinococcosis Recurrence parasitic diseases medicine Animals Humans Eosinophilia lcsh:RC109-216 Cyst Stage (cooking) hydatid cyst Retrospective Studies Ultrasonography medicine.diagnostic_test business.industry lcsh:R Retrospective cohort study General Medicine Middle Aged medicine.disease multicentre study Echinococcus Surgery Liver Vomiting Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Türkiye Parazitoloji Dergisi, Vol 44, Iss 4, Pp 197-202 (2020) |
| ISSN: | 2146-3077 1300-6320 |
| DOI: | 10.4274/tpd.galenos.2020.6737 |
| Popis: | Objective To determine the clinical characteristics of patients with cystic echinococcosis and the diagnostic and therapeutic approaches used. Methods This is a multicentre, retrospective study. Patients from six centres who were diagnosed with hydatid cysts in the last five years were evaluated. Results The mean age was 45.4±17.4 years, and 54.7% were female. The most common complaints were abdominal pain, nausea and vomiting, and the most common physical examination finding was abdominal tenderness. Most patients were diagnosed within 2-6 months. Anaemia and eosinophilia were the most common laboratory findings. The liver was the most commonly involved organ (n=153, 90%). One hundred twenty-five (73.5%) patients underwent ultrasonography. The largest cyst was present in the liver at stage four, and its diameter was 160x170 mm. The rates of the negative, grey zone and positive results were 9.4%, 8.8% and 81.8%. Surgery was more common (n=72, 42.4%) than puncture, aspiration, injection, and re-aspiration treatments (n=14, 8.2%). Of the 47 patients who had a recurrence, 22 (46.8%) had a history of hydatid cyst treatment. Conclusion Hydatid disease, which is endemic in our country, is diagnosed at a late stage. In terms of disease diagnosis, serological tests may be misleading. It was not possible to compare the success rates according to the treatment choices because of the lack of randomisation of stages and sizes of the lesions. |
| Databáze: | OpenAIRE |
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