Modern Role of Clinical Ultrasound in Liver Abscess and Echinococcosis

Overview

Journal J Med Ultrason (2001)

Specialty Radiology

Date 2016 Dec 10

PMID 27933440

Citations 4

Authors

Rita Barosa

Joao Pinto

Ana Caldeira

Eduardo Pereira

Affiliations

Soon will be listed here.

Abstract

In the Western world, liver abscesses are predominantly of pyogenic origin and can present a wide range of ultrasonographic features, from a solid mass to a cystic cavity. Amoebic abscesses are endemic in tropical areas and typically round single lesions. Echinococcal cyst is diagnosed by ultrasound (US). Serology is particularly useful when pathognomonic US features are absent. Treatment is determined based on the WHO ultrasonographic classification, and puncture, aspiration, injection, re-aspiration (PAIR) is a US-guided therapeutic option. Hepatic alveolar echinococcosis presents on US as a pseudotumoral mass frequently with calcifications that may invade the biliary tree and portal and hepatic veins.

Citing Articles

Clinical management, pathogen spectrum and outcomes in patients with pyogenic liver abscess in a German tertiary-care hospital.

Wendt S, Bacak M, Petroff D, Lippmann N, Blank V, Seehofer D Sci Rep. 2024; 14(1):12972.

PMID: 38839980 PMC: 11153614. DOI: 10.1038/s41598-024-63819-w.

Hepatic Involvement in Acquired Immunodeficiency Syndrome-Associated Kaposi's Sarcoma: A Descriptive Analysis on CT, MRI, and Ultrasound.

Guan C, Yu J, Du Y, Zhou X, Zhang Z, Chen H Infect Drug Resist. 2024; 17:1073-1084.

PMID: 38525478 PMC: 10959242. DOI: 10.2147/IDR.S440305.

Amoebic Liver Abscess: Rare Entity in Recent Times.

Reddy R Cureus. 2021; 13(9):e17698.

PMID: 34650872 PMC: 8489599. DOI: 10.7759/cureus.17698.

The role of contrast-enhanced ultrasound in the diagnosis of hepatic alveolar echinococcosis.

Cai D, Li Y, Jiang Y, Wang H, Wang X, Song B Medicine (Baltimore). 2019; 98(5):e14325.

PMID: 30702614 PMC: 6380766. DOI: 10.1097/MD.0000000000014325.

References

Ustunsoz B, Akhan O, Kamiloglu M, Somuncu I, Ugurel M, Cetiner S . Percutaneous treatment of hydatid cysts of the liver: long-term results. AJR Am J Roentgenol. 1999; 172(1):91-6. DOI: 10.2214/ajr.172.1.9888746. View

Claudon M, Bessieres M, Regent D, RODDE A, Bazin C, Gerard A . Alveolar echinococcosis of the liver: MR findings. J Comput Assist Tomogr. 1990; 14(4):608-14. DOI: 10.1097/00004728-199007000-00018. View

Bresson-Hadni S, Delabrousse E, Blagosklonov O, Bartholomot B, Koch S, Miguet J . Imaging aspects and non-surgical interventional treatment in human alveolar echinococcosis. Parasitol Int. 2006; 55 Suppl:S267-72. DOI: 10.1016/j.parint.2005.11.053. View

K C S, Sharma D . Long-term follow-up of pyogenic liver abscess by ultrasound. Eur J Radiol. 2009; 74(1):195-8. DOI: 10.1016/j.ejrad.2009.01.017. View

Krige J, Beckingham I . ABC of diseases of liver, pancreas, and biliary system. BMJ. 2001; 322(7285):537-40. PMC: 1119738. DOI: 10.1136/bmj.322.7285.537. View

Zerem E, Omerovic S, Kunosic S . Sonographically guided percutaneous treatment of liver abscesses in critically Ill patients. J Clin Ultrasound. 2014; 42(9):527-33. DOI: 10.1002/jcu.22190. View

Terrier F, Becker C, Triller J . Morphologic aspects of hepatic abscesses at computed tomography and ultrasound. Acta Radiol Diagn (Stockh). 1983; 24(2):129-37. DOI: 10.1177/028418518302400205. View

Atli M, Kama N, Yuksek Y, Doganay M, Gozalan U, Kologlu M . Intrabiliary rupture of a hepatic hydatid cyst: associated clinical factors and proper management. Arch Surg. 2001; 136(11):1249-55. DOI: 10.1001/archsurg.136.11.1249. View

Seitz K, Strobel D, Bernatik T, Blank W, Friedrich-Rust M, von Herbay A . Contrast-Enhanced Ultrasound (CEUS) for the characterization of focal liver lesions - prospective comparison in clinical practice: CEUS vs. CT (DEGUM multicenter trial). Parts of this manuscript were presented at the Ultrasound Dreiländertreffen.... Ultraschall Med. 2009; 30(4):383-9. DOI: 10.1055/s-0028-1109673. View

10.

Massolo A, Liccioli S, Budke C, Klein C . Echinococcus multilocularis in North America: the great unknown. Parasite. 2014; 21:73. PMC: 4273702. DOI: 10.1051/parasite/2014069. View

11.

Giorgio A, de Stefano G, Di Sarno A, Liorre G, Ferraioli G . Percutaneous needle aspiration of multiple pyogenic abscesses of the liver: 13-year single-center experience. AJR Am J Roentgenol. 2006; 187(6):1585-90. DOI: 10.2214/AJR.05.1104. View

12.

Haque R, Huston C, Hughes M, Houpt E, Petri Jr W . Amebiasis. N Engl J Med. 2003; 348(16):1565-73. DOI: 10.1056/NEJMra022710. View

13.

Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa C . Hydatid disease: radiologic and pathologic features and complications. Radiographics. 2000; 20(3):795-817. DOI: 10.1148/radiographics.20.3.g00ma06795. View

14.

Kishina M, Koda M, Tokunaga S, Miyoshi K, Fujise Y, Kato J . Usefulness of contrast-enhanced ultrasound with Sonazoid for evaluating liver abscess in comparison with conventional B-mode ultrasound. Hepatol Res. 2014; 45(3):337-42. DOI: 10.1111/hepr.12347. View

15.

Salles J, Moraes L, Salles M . Hepatic amebiasis. Braz J Infect Dis. 2003; 7(2):96-110. DOI: 10.1590/s1413-86702003000200002. View

16.

Vassiliades V, Bree R, Korobkin M . Focal and diffuse benign hepatic disease: correlative imaging. Semin Ultrasound CT MR. 1992; 13(5):313-35. View

17.

Chavez-Tapia N, Hernandez-Calleros J, Tellez-Avila F, Torre A, Uribe M . Image-guided percutaneous procedure plus metronidazole versus metronidazole alone for uncomplicated amoebic liver abscess. Cochrane Database Syst Rev. 2009; (1):CD004886. DOI: 10.1002/14651858.CD004886.pub2. View

18.

Claudon M, Dietrich C, Choi B, Cosgrove D, Kudo M, Nolsoe C . Guidelines and good clinical practice recommendations for Contrast Enhanced Ultrasound (CEUS) in the liver - update 2012: A WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. Ultrasound Med Biol. 2012; 39(2):187-210. DOI: 10.1016/j.ultrasmedbio.2012.09.002. View

19.

Lederman E, Crum N . Pyogenic liver abscess with a focus on Klebsiella pneumoniae as a primary pathogen: an emerging disease with unique clinical characteristics. Am J Gastroenterol. 2005; 100(2):322-31. DOI: 10.1111/j.1572-0241.2005.40310.x. View

20.

Kaltenbach T, Graeter T, Mason R, Kratzer W, Oeztuerk S, Haenle M . Determination of vitality of liver lesions by alveolar echinococcosis. Comparison of parametric contrast enhanced ultrasound (SonoVue®) with quantified 18F-FDG-PET-CT. Nuklearmedizin. 2014; 54(1):43-9. DOI: 10.3413/Nukmed-0670-14-05. View