INCIDENTALLY DISCOVERED ABDOMINAL CALCIFICATIONS – A LIBYAN PROFILE
Keywords:
Abdominal calcification, hydatid cysts, radiographsAbstract
Purpose: Abdominal calcifications are often detected on routine plain abdominal radiographs and are often not the cause of patients’ symptoms. These are more commonly seen in Libya and are often ignored by the clinicians. The aim of this article is to assess the exact incidence of abdominal calcifications in Libyan patients and the optimal management. Material & Methods: Records of 498 patients randomly selected from four hospitals in Libya were retrospectively evaluated. Plain abdominal radiographs were evaluated for any evidence of calcification by two independent blinded radiologists. The concurrent findings were considered to be positive for calcification and the cases with discordance between two radiologists were ignored.Results: There were 19 patients withabdominal calcifications out of which 10 (52.6%) were males, and 9 (47.4%) females. The abdominal calcification was not seen in children and young age groups (< 30 years).Conclusion: Abdominal calcifications have a high incidence in Libya, probably due to endemicity of hydatid disease. The finding is very often ignored by the referring physicians and should always be evaluated for hydatid disease.
References
Abu-Eshy SA. Some rare presentations of hydatid cyst (echinococcus granulosus), J. R. Coll. Surg. Edinb.1998; 43: 347-452.
Kouhsari MR, Manzar HA. Inguinal hydatid cyst: Report of a rare case, Med. J. I. R. Iran. 1377, 1998; 12(2): 177-179.
El Fortia M, Bendaoud M, Taema S, Bahei El Din I, Ben-Musa A, Shaban A, Frandah M, Abozedi G, Alzwae KH. Segmental portal hypertension due to a splenic echinococcus cyst, Eur. J. ultrasound 2000; 11: 21-23.
Dar FK, Tajuri S. Epidemiology and Epizootiology of hydatidosis in the Libyan Jamahiriya and recommendations for a programme of surveillance and control of the disease, Garyounis Med. J. 1979; 2(1): 11-15.
Polat P, Kantarci M, Alber F, Suma S, Kuruyucu MB, Okur A. Hydatid disease from head to toe. Radiographics. 2003; 23:475-494.
Amin MU, Mahmud R, Mansoor S, Ahmed S. Hydatid cysts in abdominal wall and ovary in a case of diffuse abdominal hydatidosis: Imaging and pathological correlation. Case report. Radiology case. 2009; 3(5): 25-31.
Ruiz-Rabelo JF, Gomez-Avarez M, Sanchez-Rodriquez J, Rufian Pena. Complication of extrahepatic echinococcosis: Fistulization of an adrenal cyst into the intestine. Pub Med www.pubmed.gov
Khanna AK, Prasanna GV, Khanna R, Khanna A. Case series and case reports-Unusual sites of hydatid cysts in India. Trop Doct. 2005; 35: 233-235.
Ilica AT, Kocaoglu M, Zeybek N, Guven S, Adaletli I, Basgul A, Coban H, Bilici A, Bukte Y. Extrahepatic abdominal hydatid disease caused by echinococcus granulosus. Imaging findings. AJA 2007; 189: 337-343.
Wani RA, Malik AA, Chowdri NA, Nagash SH. Primary extrahepatic abdominal hydatidosis. International Journal of Surgery. 2005; 3(2): 125-127.
Gahukamble DB. Intraperitoneal pseudocysts following rupture of the hydatid cyst of liver – A case report, Garyounis Med. J. 1988; 11(1-2): 81-03.
Prousalidis J, Tzardinoglou K, Sgouradis L, Katsohis C, Aletras H. Uncommon sites of hydatid disease, W. J. Surgery. 1998; 22(1): 17-22.
Gahukamble DB, Rakas FS. Complications of hydatid cysts of liver in children, Garyounis Med. J. 1988; 11: 32-35.
Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid disease: Radiological and pathologic features and complications. Radiographics 2000; 20: 795-817.
Bickle I, Kelly B. Abdominal x-rays made easy: calcification. Student BMJ. 2002; 10: 272. studentbmj.com
Burger FA, Komano M. Differential diagnosis in conventional radiology.2nd revised and enlarged edition: 536.Thieme, Amazon.com
Ashour AE, Gamil FA, Elwi A. Abdominal calcification masses. Garyounis Med. J.,1979; 2(1): 79-80.
Khan QM, Al-Qahtani AQ, Al-Momen S, Akdhurais SA, Mehmuda A. Widespread tuberculous calcification, Saudi Med. J. 2000; 21(4): 386-389.
Chyczewski L, Attir A, Krymski J. Morphology of the abdominal calcification masses, Garyounis Med. J., 1984; 7(1): 55-62.
Dahniya MH, Hanna RM, Ashebu S, Muhtaseb SA, El-Beltagi A, Badr S, El-Saghir E. The imaging appearance of hydatid disease at some unusual sites. British J. of Radiology (BJR) (2001); 74: 283-289.
Bhaktarahalli JN, Furarah A, Mishra A, Ehtuish EF. Isolated massive splenic hydatidosis. JMJ. 2006; 6(2): 154. www.jmj.org.ly.
Kattan YB. Intrabiliary rupture of hydatid cyst of liver. Am R Coll Surg Engl. 1977; 59(2):108-114.
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Journal of Basic Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
