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Pediatric Radiology

, Volume 35, Issue 5, pp 546–549 | Cite as

Contrast-enhanced CT and MRI findings of atypical hepatic Echinococcus alveolaris infestation

  • Ömer EtlikEmail author
  • Ali Bay
  • Halil Arslan
  • Mustafa Harman
  • Mustafa Kösem
  • Osman Temizöz
  • Ekrem Dogan
Case Report

Abstract

Diagnosis of liver infestation by Echinococcus alveolaris (EA) is based on serological and radiological findings. In this report, we present a 15-year-old girl with atypical hepatic EA infestation showing central punctate calcifications and contrast enhancement on the portal and late phases of CT and MRI. CT showed a hypodense mass involving more than half of the liver with prominent central calcifications. MRI revealed hypointense signal of the infiltrative mass on both T1- and T2-weighted images. Contrast enhancement is a unique finding in hepatic EA infestation that may cause difficulties with diagnosis. MRI may provide invaluable information in the diagnosis of EA infestation of the liver, either by disclosing the infiltrative pattern of infestation without significant effect to vascular structures, or by the signal characteristics.

Keywords

Liver Infection Echinococcus alveolaris CT MRI Child 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Ömer Etlik
    • 1
    Email author
  • Ali Bay
    • 2
  • Halil Arslan
    • 1
  • Mustafa Harman
    • 1
  • Mustafa Kösem
    • 3
  • Osman Temizöz
    • 1
  • Ekrem Dogan
    • 4
  1. 1.Department of RadiologyYuzuncu Yil University Faculty of MedicineVanTurkey
  2. 2.Department of PaediatricsYuzuncu Yil University Faculty of MedicineVanTurkey
  3. 3.Department of PathologyYuzuncu Yil University Faculty of MedicineVanTurkey
  4. 4.Department of Internal MedicineYuzuncu Yil University Faculty of MedicineVanTurkey

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