Splenic hydatid cyst
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Revision as of 18:13, 30 August 2023 by Aidan (talk | contribs) (Created page with "== Background == * Infection with Echinococcus granulosus of the liver == Differential Diagnosis == * Epidermoid cyst * Splenic pseudocyst * Splenic abscess * Splenic hematoma * Intrasplenic pancreatic pseudocyst * Cystic neoplasm of the spleen == Diagnosis == * Ultrasound and CT are best tests but appearance varies widely ** Most common appearance on ultrasound is an anechoic, smooth, round cyst ** Daughter cysts may be present ** May be able to see layers of m...")
Background
- Infection with Echinococcus granulosus of the liver
Differential Diagnosis
- Epidermoid cyst
- Splenic pseudocyst
- Splenic abscess
- Splenic hematoma
- Intrasplenic pancreatic pseudocyst
- Cystic neoplasm of the spleen
Diagnosis
- Ultrasound and CT are best tests but appearance varies widely
- Most common appearance on ultrasound is an anechoic, smooth, round cyst
- Daughter cysts may be present
- May be able to see layers of membrane
- May be able to see "sand" of protoscolices
- MRI may demonstrate a hypointense rim sign on T2
- Serology with immunoelectrophoresis is sensitive
