Application of Ultrasound Classification of Hepatic Hydatid Cyst in Iraqi Population

Abstract

Background: Cystic Echinococcosis (CE) is an endemic disease in Iraq. Its classification is crucial for proper management. Objectives: To apply ultrasound study in classifying hepatic hydatid cyst disease in the Iraqi population, which is essential in treatment planning. Materials and Methods: This prospective study conducted during a period from March  2017  to March 2018, in the Gastroenterology and Hepatology Teaching Hospital/ Medical City/ Baghdad. A total of 100 patients with a diagnosis of hydatid cyst by ultrasound were followed-up after surgery and histopathology were proved hydatid cyst. Their age range was  10-79 years (mean age 32 ± 12.5), female to male ratio 1.6:1. The standardized WHO classification of CE was used in this study. Results: CE class I was noticing in (35%), class II (35%), class III (17%), class IV (7%),  and class V (6%). Conclusion: WHO ultrasound classification of hepatic hydatid cyst becomes more popular and preferable than other classifications. CE class I and II were the most common classes in the Iraqi population. We strongly advise to use this classification in clinical practice and scientific researches.

Keywords

• who
• ultrasound
• classification
• hydatid cyst
• liver