A 14 Years Hospital Based Study on Clinical and Morphological Spectrum of Hydatid Disease

Ghartimagar, Dilasma; Ghosh, Arnab; Shrestha, Manish; Talwar, OP; Sathian, Brijesh

doi:10.31729/jnma.2115

Cited by 10 publications

(14 citation statements)

References 17 publications

(20 reference statements)

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“…In this six years of retrospective review of abdominal HD, with mean age 39.57 years and male:female ratio 0.75:1, similar to the findings reported from Saudi Arabia, Yemen and Nepal. 2,[8][9][10] Clinically, abdominal pain was main presenting symptoms in 10 (71.43%) and abdominal lump in 8 (57.14%), consistent with other published reports of up to 84% abdominal pain in liver hydatid cyst. 2,11 In our study, liver 12 (85.71%) was the most common organ involved in abdomen HDs, followed by spleen 2 (14.28%).…”

Section: Discussionsupporting

confidence: 86%

“…He developed acute severe pancreatitis and expired on 11 th postoperative day, the 2 nd day following ERCP. Mean hospital was 8.57±2.24 days (6)(7)(8)(9)(10)(11)(12)(13)(14). Demographically 8 (57.15%) patients were from Kathmandu valley, (Table 3).…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, other studies also report liver involved in 2/3 of HD, and other less common are spleen and kidney; while adrenal glands, gall bladder, omentum, peritoneum, appendix and ureter are rarely involved. 2,6,8,10 In most cases, initial diagnosis of abdominal HD is difficult by clinical features alone. In our study, abdomen USG was performed in all cases and CT when in doubt or to rule out involvement of other organs in the abdomen.…”

Section: Discussionmentioning

confidence: 99%

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Clinical profile and surgical outcome of abdominal hydatid cyst at a university hospital in Nepal

Maharjan

Paudyal

Shah

et al. 2018

J Patan Acad Health Sci

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Introductions: Hydatid cyst is caused by the tapeworm. It is common in sheep and cattle rearing communities. Liver is the most common affected organ. There are various methods of surgical approaches for hydatid cyst. Methods: This was a retrospective descriptive study of patients operated for intra-abdominal hydatid cysts from July 2012 to June 2018 at Patan Hospital, Patan Academy of Health Sciences, Nepal. Ethical approval from institutional review committee was obtained. Patient files with incomplete data were excluded. Variables analyzed were, age, gender, site and numbers of cyst, methods of surgery, complications and mortality. Data were descriptively analyzed. Results: There were 19 patients of abdominal hydatid cysts who underwent surgery during the study period. Five records files could not be accessed and were excluded. In remaining 14, male were 6 (42.85%), female 8 (57.15%), mean age 39.57±17.35 years (14-70), cyst size 11±4.22 cm (5-21), complain of abdominal pain in 10 (71%). Open surgery for liver cyst was done in 11 and laparoscopic in one, and open splenectomy for two splenic cysts. One patient developed superficial wound infection. Four had cystobiliary communication of which one underwent ERCP. Post ERCP patient developed acute severe pancreatitis and expired.Mean hospital was 8.57±2.24 days (6-14). Conclusions: Liver was the main organ involved, abdominal pain and lump were main presenting complaints. Surgery had successful outcome. Open surgery was the mainstay of treatment.

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Section: Discussionsupporting

confidence: 86%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical profile and surgical outcome of abdominal hydatid cyst at a university hospital in Nepal

Maharjan

Paudyal

Shah

et al. 2018

J Patan Acad Health Sci

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“…Molecular studies show that E. granulosus exhibit substantial genetic diversity that has important implications for the design and development of vaccines. Deoxyribonucleic acid (DNA) approaches, like the use of DNA probes, are useful for the accurate identification of this genus [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Hydatid disease or echinococcosis is a zoonosis caused by the larval stage of the genus Echinococcus tapeworm, most commonly by Echinococcus granulosus and causes worldwide public health and environmental problems [ 1 ]. Other forms include Echinococcus multilocularis , Echinococcus vogeli , and Echinococcus oligarthrus [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Hydatidosis of infratemporal fossa with proptosis – an unusual presentation: a case report and review of the literature

et al. 2018

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BackgroundHydatid disease is one of the common zoonotic diseases caused by the larval stage of Echinococcus granulosus. It is endemic in sheep-raising and cattle-raising areas worldwide and humans are an accidental intermediate host following the ingestion of the larvae. Head and neck involvement of echinococcosis is a rare entity and involvement of the infratemporal region is extremely rare even in endemic areas. Only a few cases of hydatid cysts located in the infratemporal fossa have been reported in the literature. Moreover, extension of the hydatid cyst into the intraorbital region and infiltrating into the surrounding orbital bone is even rarer.Case presentationWe present a case of a 65-year-old Gurung Nepalese woman with painless proptosis of her left eyeball of 2 months’ duration with recent progressive diminution of vision for 15 days. Radiological findings showed a cystic mass in the left infratemporal fossa extending into the left orbit and involving the surrounding orbital bone. Surgical removal was carried out. On histopathological evaluation, it was reported as hydatid cyst infiltrating into the bone. She was prescribed albendazole and discharged after surgery. However, she was lost to follow up and returned after 15 months with recurrence and proptosis of the same eye. Repeat excision of the lesion was carried out and postoperatively she was administered tablet albendazole. She was found to be disease free after 6 months of follow up.ConclusionsClinical and radiological findings are important but may not be sufficient in the preoperative diagnosis of hydatid disease especially if rare sites are involved. Proptosis may be seen in several conditions and orbital or infratemporal hydatidosis, although rare, should be considered a differential diagnosis.

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An institutional experience of hydatidosis and cysticercosis in Nepal: a retrospective chart review

Sharma¹,

Tiwari²,

Gaire³

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: This study aimed to investigate the demographic characteristics, anatomical distribution, and histopathological features of hydatidosis and cysticercosis in a Nepalese population presenting to a tertiary care hospital. The study also aimed to provide a better understanding of the clinical and pathological aspects of these diseases in the local context. Methods: This retrospective study analyzed all cases of hydatidosis and cysticercosis reported in the Department of Pathology at Tribhuvan University Teaching Hospital between January 2013 and December 2019. Demographic, clinical, radiological, and histopathological data were collected and analyzed from hospital charts. Results: During the 7-year study period, the authors identified 112 cases of hydatid cysts and 26 cases of cysticercosis. The mean age of patients with hydatidosis was 33.86 years (range: 5–74 years), while the mean age of patients with cysticercosis was 25.39 years (range: 4–63 years). Females were more commonly affected with hydatidosis (68, 61.7%) than males (44, 39.3%), resulting in a male-to-female ratio of 0.6:1. In contrast, there was no significant sex difference in cysticercosis cases, with 14 (53.85%) males and 12 (46.15%) females affected. The most commonly affected site for hydatid cysts was the lung (47 cases, 42%), followed by the liver (41 cases, 36.6%). The study identified three cases of neurocysticercosis. The average diameter of hydatid cysts and cysticercosis was 8.7 cm and 1.7 cm, respectively. Conclusion: In conclusion, our study provides important insights into the clinical and pathological features of hydatidosis and cysticercosis in a Nepalese population. These zoonotic diseases pose a significant health burden, particularly among the poor and marginalized populations. Our findings highlight the need to integrate prevention and control measures into the healthcare system to decrease the overall burden of these diseases.

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A 14 Years Hospital Based Study on Clinical and Morphological Spectrum of Hydatid Disease

Cited by 10 publications

References 17 publications

Clinical profile and surgical outcome of abdominal hydatid cyst at a university hospital in Nepal

Clinical profile and surgical outcome of abdominal hydatid cyst at a university hospital in Nepal

Hydatidosis of infratemporal fossa with proptosis – an unusual presentation: a case report and review of the literature

An institutional experience of hydatidosis and cysticercosis in Nepal: a retrospective chart review

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