DIFFERENT REPRESENTATIONS OF HEPATIC HYDATIDS AND THEIR MANAGEMENTS

Abstract

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.