Echinococcosis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
[[Cystic echinococcosis]] must be differentiated from other diseases presenting with | [[Cystic echinococcosis]] must be differentiated from other diseases presenting with right sided [[abdominal pain]] such as [[pyogenic liver abscess]] and [[amoebic liver abscess]] and fungal liver [[abscess]]. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Echinococcal cyst must be differentiated from other diseases presenting with similar features of right sided [[abdominal pain]] such as: | Echinococcal cyst must be differentiated from other diseases presenting with similar features of right sided [[abdominal pain]] such as:<small> | ||
<small> | |||
{| class="wikitable" | {| class="wikitable" | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" rowspan="3" + |Disease | ! align="center" style="background:#4479BA; color: #FFFFFF;" rowspan="3" + |Disease |
Revision as of 15:00, 26 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];
Overview
Cystic echinococcosis must be differentiated from other diseases presenting with right sided abdominal pain such as pyogenic liver abscess and amoebic liver abscess and fungal liver abscess.
Differential Diagnosis
Echinococcal cyst must be differentiated from other diseases presenting with similar features of right sided abdominal pain such as:
Disease | Causes | Symptoms | Lab Findings | Imaging Findings | Other Findings | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Fever | Pain | Cough | Hepatomegaly | Jaundice | Weight loss | Anorexia | Diarrhoea
or Dysentry |
Nausea and
vomiting |
Stool | ||||||
Abdominal pain
(right upper quadrant pain) |
Pleuritic pain | ||||||||||||||
Amoebic liver abscess | Entamoeba histolytica | ✔✔✔ | ✔✔✔ | ✔/✘ | ✔ | ✔✔/✘ | ✔
(late stages) |
✔
(late stages) |
✔ | ✔ | ✔ | Hypoalbuminemia
(✔) |
|
| |
Pyogenic liver abscess | Bacteria
|
✔ | ✔ | ✔✔ | ✔✔ | ✔/✘ | ✔✔✔ | ✔
(acute loss) |
✔ | ✔ | Pale/dark | Hypoalbuminemia
(✔✔✔) |
Cluster sign |
| |
Fungal liver abscess | Candida species Aspergillus species |
✔ | ✔ | ✔/✘ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | CT and Us findings with four patterns of presentation:
|
| ||
Echinococcal (hydatid) cyst | Echinococcus granulosus | ✔ | ✔ | ✔ | ✔ | ✔ | Histology: Hydatid cyst with three layers
a.The outer pericyst, which corresponds with compressed and fibrosed liver tissue b.The endocyst, an inner germinal layer c.The ectocyst, a thin, translucent interleaved membrane |
Ultrasound:
|
| ||||||
Malignancy
(Hepatocellular carcinoma/Metastasis) |
✔ | ✔
(uncommon) |
✔ | ✔ | ✔✔ | ✔✔ | Pale/Chalky |
|
Other symptoms: |