Langer M, Langer R, Rittmeyer K
Rofo. 1979 Aug;131(2):151-6. doi: 10.1055/s-0029-1231401.
From 1973 to 1978 13 cases of cystic hydatid disease and 15 cases of alveolar hydatid disease of the liver were diagnosed by angiography. The main diagnostic features of cystic hydatid disease of the liver are the following: "rim-sign", avascular areas, curved displacement of the arteries and stretching of the intrahepatic arteries. Multilocular hydatid disease of the liver shows tumor-like angiographic signs, such as atypical vascular formations, distensions, vascular irregularities, arterial stenoses as well as hepatosplenomegaly. Differential diagnosis in malignant liver diseases is often impossible, but early venous filling and arteriovenous shunts are not characteristic of multilocular hydatid disease of the liver. Particularly difficult is the interpretation in patients who have had previous surgery.
1973年至1978年间，血管造影诊断出13例肝囊性包虫病和15例肝泡状包虫病。肝囊性包虫病的主要诊断特征如下：“边缘征”、无血管区、动脉弯曲移位及肝内动脉拉长。肝多房性包虫病表现为肿瘤样血管造影征象，如非典型血管形成、扩张、血管不规则、动脉狭窄以及肝脾肿大。在恶性肝病中常常无法进行鉴别诊断，但早期静脉充盈和动静脉分流并非肝多房性包虫病的特征。对于曾接受过手术的患者，解读尤为困难。
