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Chest x-ray showing elevated right dome of the diaphragm in a patient with a large hepatic hydatid cyst.
Source publication
Hydatidosis is strictly a zoonosis. Humans are an accidental host. The disease is endemic in rural agricultural areas. However if acquired by humans, it can cause extensive spread affecting a wide range of organs with predilection for the liver. Managing such cases requires a sound fundamental knowledge of the parasite and its pathogenicity. It is...
Context in source publication
Context 1
... typically exhibiting the 'arc 5' phenomenon and ELISA for IgG against antigen 5 are highly suggestive of hydatid disease. 5,6 Plain chest X-ray shows elevated dome of diaphragm on the right side (Figure 1). In cases of rupture into the pleural space, the pulmonary hydatid exhibits the typical 'water-lilly' appearance. ...
Citations
... 8,9 The structure of the cyst wall is critical to surgical management. 10 In solid organs such as the liver and spleen, compressed parenchymatous tissue admixed with rich vasculature make surgical intervention problematic. Therefore, in the liver, peri-cyst is never resected. ...
... Therefore, in the liver, peri-cyst is never resected. 10 Same applies to splenic hydatids where it is impossible to remove the cyst. Hence in the context of spleen, splenectomy is the treatment of choice (Figure 4). ...
... The principles involved in this approach have to be meticulously followed. [8][9][10] These include: 1) neutralization and removal of the parasite, 2) prevention of intra-operative contamination and, 3) management of the residual cavity. The fluid within the cyst is highly antigenic and infective. ...
Background: Hydatid cyst is one of the commonly encountered parasitic disease in agricultural countries. Man is an accidental host. However the parasite can cause cystic lesions in various organ systems of the body. Intra-abdominal hydatid cyst continues to be a challenging problem.
Methods: Case records of patients diagnosed and surgically treated for intra-abdominal hydatid disease were studied. Demographic details, diagnostic modalities and surgical approach to each patient was studied.
Results: Ten cases of intra-abdominal hydatid disease diagnosed and managed in a single surgical centre were studied. Eight patients had hepatic disease, one had splenic disease and one had disseminated disease which included both hepatic and peritoneal disease. All were treated surgically.
Conclusions: Males involved in livestock industry are commonly affected. Liver is the commonest intra-abdominal site for hydatid disease. CT scan is diagnostic. Open surgery still continues to be the safest option for treating this condition.
