Abscesses, Cysts, and Parasitoses

  • Francis S. Weill

Abstract

An abscess that has not yet collected has a semisolid echostructure that tends to become heterogeneous (Fig. 11.1). Later, when the abscess collects, the region of purulent necrosis becomes frankly liquid in appearance (Fig. 11.2) and may contain floating debris (Figs. 11.3, 11.5) or the debris may sediment at the bottom of the abscess. On the other hand, certain dense echoes are often seen in the upper part of an abscess (Fig. 11.4), and computed tomography (CT) has proved that these hyperechoic structures are, in fact, gas bubbles.

Keywords

Catheter Attenuation Sedimentation Gall Excavation 

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References and Further Reading

  1. Aimino R, Fourcade A, Ayme Y (1982) Aspect échographique particulier d’un kyste hydatique pelvien. J Radiol 63:197–199PubMedGoogle Scholar
  2. Bamett E, Morley P (1974) Abdominal echography. Butter- worths, London Bean WJ, Rodan BA (1985) Hepatic cysts: treatment withGoogle Scholar
  3. Bret PM, Fond A, Bretagnolle M, Labadie M, Bret P, Buf- fard P (1982) Une technique simple de guidage des ponctions percutanées par l’échographie en temps réel. J Radiol 63: 363–365PubMedGoogle Scholar
  4. Cauquil P, Pariente D, Loyer E, Lallemand D (1986) Aspect échographique singulier d’une distomatose heparique. J Radiol 67 (10): 715–717PubMedGoogle Scholar
  5. Cerri GG, Alves VAF, Magalhäes A (1984) Hepatosplenic Schistosomiasis mansoni: ultrasound manifestations. Radiology 153: 777–780PubMedGoogle Scholar
  6. Didier D, Weiler S, Rohmer P, Lassegue A, Deshamps JP, Vuitton D, Miguel JP, Weill F (1985) Ultrasonic and CT study of alveolar echinococcosis. Radiology 154: 179–186PubMedGoogle Scholar
  7. Enterline DS, Ranch ER, Silverman PM, Koralikin M, Akuvari OE (1984) Cyst of the falciform ligament of the liver. AJR 142: 327–328Google Scholar
  8. Francis IR, Glazer GM, Amendola MA, Trenkner SW (1986) Hepatic abscesses in the immunocompromised patient: role of CT in detection, diagnosis, management, and follow-up. Gastrointest Radiol 11: 257–262PubMedCrossRefGoogle Scholar
  9. Gaines PA, Sampson MA (1989) Prevalence and character-izarion of hepatic cysts. Br J Radiol 62: 335–337PubMedCrossRefGoogle Scholar
  10. Gharbi HA, Hassine W, Brauner MW, Dupuch K (1981) Ultrasound examination of the hydatic liver. Radiology 139:459–463PubMedGoogle Scholar
  11. Goldberg BB, Kotler MN, Ziskin MC, Waxham RD (1975) Diagnostic uses of ultrasound. Grune and Stratton, New YorkGoogle Scholar
  12. Gooding GAW (1981) Amebic abscess: Sonographic folio w-up of persistent hepatic defects in two patients one year after successfultreatment for amebiasis of the liver. J Clin Ultrasound 9: 451–452PubMedCrossRefGoogle Scholar
  13. Hadidi A (1982) Sonography of heparic echinococcal cysts.Gastrointest Radiol 7: 349–354Google Scholar
  14. Hassani N (1976) Ultrasonography of the abdomen.Springer, Beriin Heidelberg New YorkGoogle Scholar
  15. Hess B, Binswanger RO, Otto R (1982) Einsatz von Ultraschall: Ultraschallgezielte Feinnadelpunktion und -aspiration bei Amöbenabszess der Leber. Schweiz Med Wochenschr 112: 1669–1674PubMedGoogle Scholar
  16. Ho B, Cooperberg PL, Li DKB, Mack L, Naiman SC, Grossman L (1982) Ultrasonography and computed tomography of hepatic Candidiasis in immunosuppressed patients. J Ultrasound Med 1: 157–159PubMedGoogle Scholar
  17. Holm HH, Kristensen JK (1980) Ultrasonically guidedpuncture technique. Munksgaard, CopenhagenGoogle Scholar
  18. Holm HH, Kristensen JK, Rasmussen SN, Pedersen JF, Hancke S (1980) Abdominal ultrasound, 2nd edn. Munksgaard, CopenhagenGoogle Scholar
  19. Hugier M, Cherqui D, Houry S, Roland J, Lacaine F (1986)Kystes bihaires du foie. Presse Méd 15: 827–829Google Scholar
  20. liter BT, Özgüven Ö, Mentes NK (1985) “Ball of wool” or “yam” sign: a new ultrasonographic sign for the diagnosis of hydatid cysts. A preliminary report. Br J Radiol 58: 1141–1143CrossRefGoogle Scholar
  21. Jennings CM, Gaines PA (1988) The abdominal manifestations of Von Hippel-Lindau disease. Clin Radiol 39:363–367PubMedCrossRefGoogle Scholar
  22. Jonas P (1975) L’échographie. Sa place dans l’exploration des collections liquidiennes du foie. Thesis, Claude Bernard University, Lyon King DL (1973) Ultrasonography of echinococcal cysts. J Clin Ultrasound 1: 64–67Google Scholar
  23. Kressel HY, Filly RA (1978) Ultrasonographic appearance of gas-containing abscesses in the abdomen. AJR 130: 71–73PubMedGoogle Scholar
  24. Kuligowska E, Connors SK, Shapiro JH (1982) Liver abscess: Sonography in diagnosis and treatment. AJR 138: 253–257PubMedGoogle Scholar
  25. Landay MJ, Seriawan H, Hirsch G, Christensen EE, Conrad MR (1980) Heparic and thoracic amebiasis. AJR 135: 449–454PubMedGoogle Scholar
  26. Lassegue A, Deschamps JP, Vuitton D et al. (1982) Apport de la tomodensitométrie au diagnosric et á la surveillance de l’échinococcose alvéolaire hépatique. Gastroenterol Clin Biol 6: 901–909PubMedGoogle Scholar
  27. Leopold GR, Asher WM (1975) Fundamentals of abdominal and pelvic ultrasonography. Saunders, Philadelphia Lewall DB, McCorkell SJ (1985) Heparic Echinococcal cysts: sonographic appearance and classificarion. Radiology 155: 773–775Google Scholar
  28. Madrazo BL, Hricak H, Sandler MA, Eyler WR (1981) Sonographic findings in complicated peptic ulcer. Radiology 140: 457–461PubMedGoogle Scholar
  29. Miguet JP (1973) L’échinococcose alvéolaire en Franche-Comté. Thesis, University of Besançon, Besançon Naidich DP (1983) Ultrasound analysis of solidappearingabscesses. Radiology 146: 487–491Google Scholar
  30. Newlin N, Silver TM, Stuck KJ, Sandler MA (1981) Ultrasonic features of pyogenic liver abscesses. Radiology 139: 155–159PubMedGoogle Scholar
  31. Ralls PW, Meyers HI, Lapin SA, Rogers W, Boswell WD, Halls J (1979) Gray-scale ultrasonography of heparic amoebic abscesses. Radiology 132: 125–129PubMedGoogle Scholar
  32. Robotri CG, Meister F, Schröder R (1985) Budd-Chiari- Syndrom bei Leberechinokokkose. Fortschr Röntgenstr 142 (5): 511–513CrossRefGoogle Scholar
  33. Roemer CE, Ferrucci JT, Mueller PR, Simeone JF, Van Sonnenberg E, Wittenberg J (1981) Heparic cysts, diagnosis and therapy by sonographic needle aspirarion. AJR 136: 1065–1070PubMedGoogle Scholar
  34. Sansot M, Burger G, Jouve P (1981) Aspect échotomographique inhabituel d’un cas d’hydatidose hépatosplé- nique. JEMU 2: 153–155Google Scholar
  35. Solomon A, Rubinstein Z, Morag B (1982) Hydatosis of theabdominal cavity. Gastrointest Radiol 7: 355–356PubMedCrossRefGoogle Scholar
  36. Subramanyam BR, Balthazar EJ, Raghavendra BN, Horii SC, Hilton S, Naidich DP (1983) Ultrasound analysis of solid-appearing abscesses. Radiology 146: 487–491PubMedGoogle Scholar
  37. Sukov RJ, Cohen U, Sample WF (1980) Sonography of hepatic amoebic abscesses. AJR 134: 911–915PubMedGoogle Scholar
  38. Taylor JW (1979) Diagnosric ultrasound in gastrointestinaldisease. Churchill-Livingstone, EdinburghGoogle Scholar
  39. Van Sonnenberg E, Mueller PR, Schiffmann HR, Ferrucci JT Jr, Casóla G, Simeone JF, Cabrera OA, Gosink BB (1985) Intrahepatic amebic abscesses: indications for and results of percutaneous catheter drainage. Radiology 156: 631–635Google Scholar
  40. Weill F (1978) Ultrasonography of digesrive disease. Mosby, St. LouisGoogle Scholar
  41. Weill F, Becker JC, Kraehenbuhl JR, Heriot G, Walter JP (1973 a) Atlas clinique de radiographic ultrasonore. Mas- son, ParisGoogle Scholar
  42. Weill F, Kraehenbuhl JR, Aucant D, Ricatte JP, Miguet JP, Gillet M (1973 b) Le diagnosric échotomographique des kystes hydatiques. Evidences et pièges. J Radiol 54: 345–400Google Scholar
  43. Weill F, Kraehenbuhl JR, Bourgoin A, Miguet JP, Gillet M (1975) Aspects échotomographiques de l’échinococcose alvéolaire. Méd Chir Dig 4: 35–37PubMedGoogle Scholar
  44. Weill F, Le Mouel A, Rohmer P, Bihr E (1981) Pseudocystic patterns after removal of hydatid cysts involving the liver. Eur J Radiol 1: 189–260Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • Francis S. Weill
    • 1
  1. 1.Chaire de RadiodiagnosticRadiologie A Hôpital Jean MinjozBesançonFrance

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