Hydatid disease: radiological and serological studies before and after surgery

The present study aimed to evaluate indirect haemagglutination test [IHAT] together with imaging modalities ultrasonography [US] and computed tomography [CT] in the diagnosis and postoperative follow up of hepatic hydatid disease. Sixteen patients of hepatic hydatidosis were enrolled in this study. Diagnosis was established by IHAT, US and CT. Cytological examination of hydatid fluid was performed post operatively. IHAT showed a sensitivity of 75%. Imaging techniques were 100% sensitive, they demonstrated solitary cysts in eleven patients and multiple cysts in four patients, mainly affecting the right lobe. In one patient showing a hepatic cyst, an extra hepatic one was encountered in the spleen. Radical surgical procedure in the form of pericystectomy was performed in all patients in conjunction with albendazole therapy pre and post operatively. After one year follow up, there was no evidence of recurrence, IHAT became negative in all except one patient. Complete resolution of the cyst cavities was recorded in 87.5% of the patients by US and CT. It was concluded that US and CT imaging are the most reliable modalities for diagnosis and for assessment of cure in hepatic hydatidosis, IHAT was less sensitive

role of color doppler sonography in the diagnosis of testicular lesions

Testicular lesions are common clinical problems affecting males of all age groups. Forty patients with scrotal pain and/or scrotal swelling were examined with Grey Scale and Color Doppler Sonography of the scrotum. In acute testicular lesions, including testicular torsion [15%] and acute epididymo-orchitis [47.5%], Color Doppler Sonography was more sensitive than Grey Scale Sonography, reaching up to 100% sensitivity in differentiating the two conditions. In chronic testicular lesions, there was an overlap in the vascular pattern and Doppler indices between chronic inflammatory lesions [20%] and malignant lesions [12.5%], that limit the role of Color Doppler Sonography to differentiate between these lesions. In cases of testicular trauma [5%], Color Doppler Sonography was able to demonstrate uninterrupted blood supply and avascular nature of testicular contusion. Color Doppler Sonography was very accurate in the diagnosis of acute testicular lesions, while its role in chronic testicular swellings still in need of further research on large number of patients