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Fırat Tıp Dergisi
2022, Cilt 27, Sayı 2, Sayfa(lar) 126-130
[ Turkish ] [ Tam Metin ] [ PDF ]
Evaluation of Patients Who Have Undergone Percutaneous Liver Hydatid Cyst Treatment in Terms of the Presence of Eosinophilia and Indirect Hemagglutination Test Positivity
Azad HEKİMOĞLU, Zeycan Kübra CEVVAL, Onur ERGUN
Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Ankara, Türkiye

Objective: Hydatid cyst (HC) is a common health problem in Turkey. The aim of our study is to retrospectively evaluate patients who have undergone percutaneous liver hydatid cyst treatment and whose diagnosis is confirmed, together with blood tests, and to evaluate the utility of these tests in the diagnosis of HC.

Material and Method: Eighty-four patients (mean age 44 years) who underwent percutaneous hydatid cyst treatment were included in the study. The cyst contents of the patients treated with PAIR and catheterization method, indirect hemagglutination test (IHT) and eosinophil count results were evaluated retrospectively.

Results: IHT was positive in 50 of 69 patients with a definite diagnosis of HC, and negative in 19. IHT was positive in 3 of 15 patients without HC, and negative in 12. There was a statistically significant relationship between the presence of HC and the IHT result (p <0.001). The sensitivity of the IHT was 72% and its specificity was 80%. While eosinophilia was found in 22 of the patients with a definite diagnosis of HC, the eosinophil count was normal in remaining 47 patients. While eosinophilia was observed in 5 of 15 patients without HC, the eosinophil count was normal in the remaining 10 patients. There was no statistically significant relationship between the HC and the eosinophil test results (p =0.913).

Conclusion: Radiological imaging and serological tests should be used together for the diagnosis of HC before the treatment decision.


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