Turgut A T, Altinok T, Topçu S, Koşar U
Department of Radiology, Ankara Training and Research Hospital, Ankara, Turkey.
Eur J Radiol. 2009 Apr;70(1):49-56. doi: 10.1016/j.ejrad.2008.01.002. Epub 2008 Mar 4.
Hydatid disease, a worldwide zoonosis, is caused by the larval stage of the Echinococcus tapeworm. Although it can involve almost every organ of the body, lung involvement follows in frequency the hepatic infestation in adults and is the predominating site in children. Radiologically, hydatidosis usually demonstrates typical findings, but many patients are at risk of developing various complications of hydatid disease with atypical imaging findings and these are rarely described in the literature. In this pictorial review, the imaging features of local complications of hydatid disease involving the thorax including intrapulmonary or pleural rupture, infection of the ruptured cysts, reactions of the adjacent tissues, thoracic wall invasion and iatrogenic involvement of pleura are described. Additionally, imaging characteristics of transdiaphragmatic thoracic involvement of hepatic hydatid disease are presented. To prevent the development of subsequent catastrophic results, all radiologists need to be aware of the atypical imaging appearances of complications of pulmonary hydatid disease.
包虫病是一种全球性人畜共患病，由棘球绦虫的幼虫阶段引起。虽然它几乎可累及身体的每个器官，但在成人中肺部受累的发生率仅次于肝脏感染，而在儿童中则是主要受累部位。在影像学上，包虫病通常表现出典型特征，但许多患者有发生各种包虫病并发症的风险，这些并发症具有非典型影像学表现，而相关文献对此鲜有描述。在本图片综述中，描述了累及胸部的包虫病局部并发症的影像学特征，包括肺内或胸膜破裂、破裂囊肿感染、邻近组织反应、胸壁侵犯及胸膜的医源性累及。此外，还介绍了肝包虫病经膈肌累及胸部的影像学特征。为防止随后出现灾难性后果，所有放射科医生都需要了解肺包虫病并发症的非典型影像学表现。
