Hepatic hydatid cyst – Incidence and prevalence

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Hepatic hydatid cyst – Incidence and prevalence

Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 22, Issue 2

Abstract

This is a prospective, single centered based observational study of 30 patients with hydatid cyst of liver included the patients admitted in the Department of General Surgery In M.G.M Medical College and L.S,K Hospital located in Kishanganj, Bihar. This study was carried out in a period between August 2014 to September 2016. Patient of all ages and both sexes are included in this study. Proper Informed consent was taken from every patient those who were included in this study. All patients of either sex , male or female admitted with the diagnosis of hepatic hydatid cyst were included in this study excepting patients diagnosed with non-parasitic cystic disease of liver e.g. 1. Simple cyst, 2. Amoebic liver abscess, 3. Pyogenic liver abscessand other space occupying lesions. At the end of the study the following conclusions were drawn 1) 2/3rd of the patients presented in 3rd – 4th decades of life. 2) There was a slight male preponderance, the male to female ratio is 1.3 : 1 3) Hepatomegaly was present in 70% of patient. 4) ELISA for Echinococcal antibody, performed in all cases. 5) Majority of patients were treated surgically and with preoperative treatment with Albendazole for 2-4 wks.and followed by post-operative chemotherapy to reduce the chances of recurrences (in case of operative spillage or missed small / daughter cyst). All patients were received Albendazole 3 weeks before the procedure and to prevent anaphylactic shock , all the necessary medicines ( inj hydrocortisone, inj Phenergan, inj adr. etc.) were kept ready at operation theatre. No intralesional scolicidal agents were used – only the scolicidal agents were used perilesionally. 6) The right lobe of liver is involved in almost > 2/3rd of the cases, while isolated left lobe involvement was not seen in this study. Both lobes involvement were seen in 1/3rd of cases, hence correlating with published literatures. 7) Solitary hydatid cyst in liver was present in 1/3rd of cases and multiple cysts were found in 2/3rd of cases and some had cystobilliary communications. 8) So, for symptomatic hydatid cyst of liver, open surgical method is the best modality of management. And in this study out of 30 patients 29 recovered well and due to associated comorbidities 1 patient was not operated, who was managed conservatively.

Authors and Affiliations

Ved RajanArya, Saurabh Kumar, Nipun Roy, Sanjeeva Kumar, Kaustav Sahav

Keywords

Incidence and prevalence

EP ID EP494941
DOI -
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