DIFFERENT REPRESENTATIONS OF HEPATIC HYDATIDS AND THEIR MANAGEMENTS

Introduction: Hydatid disease is a parasitic infestation by a tape worm of the kind echinococcus. The larval form of cestode, Echinococcus granulosus, manifesting as cyst located mainly still not exclusively, in the liver (up to 80%) is the reason of disease in the mankind. Echinococcus can involve any organ, but liver is the most common organ follow by the lungs. Our study showed the different clinical presentations of hydrated cyst of liver, we showed the various complications and their management and the treatment options especially surgical methods. Materials And Method: This study of 30 patients with hydrated cyst of liver included the patients admitted in the Department of General Surgery In M.G.M Medical College and L.S,K Hospital in a period between august 2014 to September 2016. Patient of all ages and both sexes are included in this study. Department of General Surgery in M.G.M Medical College and L.S.K Hospital, Kishanganj Results & Analysis: Our study showed that 1 patient had Retained cyst complications, 2 patients had Biliary stula complications, 2 patients had Post operative cholangitis complications and 2 patients had Surgical site infection. 29 patient had modality of treatment is surgery, 30 patient had modality of treatment is Preoperative Chemotherapy and 30 patient had modality of treatment is Postoperative Chemotherapy. Conclusion: The largest cyst was 14.5x14x11 cm. in right lobe of liver. Most common modality of treatment is surgical, with pre & post operative chemotherapy. The scolicidal agents most commonly used are combination of 0.5 % Certied and 0.05 % of chlorhexidine (SAVLON) TM. The chemotherapeutic agents were Albendazole in doses of 10 mg /kg. body wt. twice daily for 28 days for 3 -4 cycles with an interval of 14 days in between the cycles. All the patients were monitored for liver dysfunctions and granulocytopenias. 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.

Disseminated Abdomino-Throracic Hydatidosis Presenting as Mediastinal Syndrome

Hydatid disease, one of the most geographically widespread zoonoses is caused by tape worm Echinococcus granulosus. It is endemic in areas with increased cattle grazing with substantial disease burden. We report a case of a male who presented with symptoms and signs of mediastinal compression and was diagnosed to have disseminated hydatid disease.

Review on Epidemiology and Public Health Significance of Hydatidosis

Hydatidosis is a zoonotic parasitic disease caused by larval stages (hydatid cysts) of cestodes belonging to the genus Echinococcus and the family Taeniidae. Hydatid cyst, which is the larval stage of Echinococcus, is a bladder-like cyst formed in various organs and tissues following the growth of the oncospheres of an Echninoccus tape worm in that specific organ or tissue. The epidemiology and control of hydatidosis is often considered to be a veterinary matter since the disease can be regulated by controlling parasites in animals. However, collaboration between veterinarians and public health workers is essential for the successful control of hydotidosis. Therefore, the objective of this paper was to review The epidemiology, economic and public health importance of hydatidosis. The developmental stage of Echinococcus is that eggs develop to oncospheres, this oncospheres develop to hydatid cyst in the intermediate host and the hydatid cyst if consumed by final host develops to the adult Echinococcus. Human echinococcosis is a zoonotic infection caused by the tape worm of the genus Echinococcus. Echinococcus granucosus granulosis cause cystic echinococcosis (CE), Echinococcus multilocularis cause alveolar echinoloccosis (AE), and Echinococcus vogeli and Echinococcus oligarthus cause polycystic echinococcosis (PE). From these Echinococcus mulitilocularis is rare but is the most virulent, Echinococcus vegeli and Echinococcus oligarthus are the rarest. Hydatidosis is a zoonotic cosmopolitan parasitic disease found in almost all countries of the world. This disease causes a significant economic loss directly by causing organ or carcass condemnation and indirectly by affecting human and animal health which increase the cost for diagnosis, treatment and control of the disease. Public awareness creation about the transmission and control of the disease and its public health significance and collaboration between veterinarians and public health workers in the prevention and control of the disease is mandatory.

Case report of a rare isolated cysticercosis of the inguinal region

Cysticercosis, an infection with larval form of pork tape worm, Taenia solium, commonly presents with multiple muscular cysts or CNS involvement. Due to vague clinical presentation and unfamiliarity of clinicians with this entity, it is difficult to diagnose which seen as an isolated cyst. In this article presented a case of solitary inguinal region swelling in an 8-year-old boy which after diagnosis proved to be a solitary cysticercosis in the inguinal region which is very rare occurrence.

Primary hydatid cyst of the mesentery presenting as a small bowel volvulus

Hydatid disease mostly caused by Echinococcus granulosus (dog tape worm) is a common parasitic disease in pastoral areas. It produces cysts in the human body. Human is an accidental intermediate host. Most common sites are liver and lungs. Intraperitoneal hydatid cyst occurs sometimes and it is usually secondary to rupture of primary hepatic hydatid cyst. Primary intraperitoneal hydatid cyst is rare (2%). Primary hydatid cyst in mesentery is very rare. Small bowel volvulus is rare but documented complication of tumours of the mesentery, including cysts. In this article, the authors present a case of primary mesenteric hydatid cyst with acute intestinal obstruction secondary to volvulus.

Surgical excision of a giant pedunculated hydatid cyst of the liver

Hydatid disease is caused by a tape worm Echinococcus Granulosus that lives in the intestines of the definitive host which is the dog or other carnivore. Human is the accidental intermediate host and become infected by ingesting contaminated vegetables or water with the eggs of the parasite. A-37-year old male presented with right side abdominal pain for 2 months. Abdominal examination showed a large right side abdominal mass extending from the right subcostal region to the right iliac fossa. CT-scan showed two cystic lesions in the right lobe of the and a third one extending to the pelvis. During surgery aspiration of 10 liters of bile stained fluid done. Excision of the cysts done. Tube drain put inside the cyst cavity with omentoplasty. There was bile leak to the drain which stopped over one month. The patient received anthelminthic medication for 3 months.