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腹部寄生虫病:影像学表现

Parasitic diseases in the abdomen: imaging findings.

作者信息

Lim Jae Hoon

机构信息

Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, Seoul, 135-710, South Korea.

出版信息

Abdom Imaging. 2008 Mar-Apr;33(2):130-2. doi: 10.1007/s00261-007-9323-0.

Abstract

Parasitic diseases of the liver and biliary tract include echinococcosis, schistosomiasis, toxocariasis, clonorchiasis, and opisthorchiasis, affecting millions people in some endemic areas. Amebiasis and ascariasis are believed to be the most common bowel lumen indwelling parasitic diseases, affecting billions people worldwide, but sometimes these parasites migrate inadvertently to the liver and biliary tract, resulting in liver abscess or obstructive jaundice. Imaging findings of these parasitic diseases are fairly characteristic and easy to recognize if radiologists are aware of the findings, especially in endemic areas. Because of increased immigration and frequent travelling, some patients with "exotic" parasitic diseases may be encountered in non-endemic areas, and the diagnosis may be delayed or difficult, and it is often made only after operation. This feature section was designed to provide the detailed imaging features of common parasitic diseases affecting the abdominal organs and peritoneal cavity, based on pathology-image correlation.

摘要

肝脏和胆道寄生虫病包括棘球蚴病、血吸虫病、弓蛔虫病、华支睾吸虫病和后睾吸虫病,在一些流行地区影响着数百万人。阿米巴病和蛔虫病被认为是最常见的肠腔寄生性疾病,在全球范围内影响着数十亿人,但有时这些寄生虫会意外迁移至肝脏和胆道,导致肝脓肿或梗阻性黄疸。如果放射科医生了解这些寄生虫病的影像学表现,尤其是在流行地区,其表现相当具有特征性且易于识别。由于移民增加和旅行频繁,在非流行地区可能会遇到一些患有“外来”寄生虫病的患者,诊断可能会延迟或困难,而且往往仅在手术后才能做出诊断。本专题旨在基于病理与影像的相关性,提供影响腹部器官和腹腔的常见寄生虫病的详细影像学特征。

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