Multimodal Approach and Management of Hepatic Hydatid Pathology

Abstract

Hydatid disease is a parasitosis that occurs as a result of cystic tumour development in the liver of the echinococcus taenia. Hepatic hydatid cyst is a special and topical pathology especially for the Dobrogea region, which is an endemic area for this zoonosis. The particularity of this disease is represented by the benign character of the disease, but the aggressiveness of the complications has a dramatic influence on the whole organism due to the toxic-allergic action. Hydatid pathology, particularly hepatic pathology, remains and continues to remain in the frequency of hepatic pathologies with an increased degree of difficulty, both in terms of response to antiparasitic therapy and in terms of surgical conduct. Although hepatic hydatid cyst is often discovered by accident during routine paraclinical imaging investigations, the impact of this pathology on the biliary tree can be devastating. We propose to highlight the close link between antiparasitic and surgical treatment in the context of the complications that can arise in this disease.We are faced with a pathology that benefits from both drug treatment and surgical treatment, as well as minimally invasive techniques. According to several considerations, we can state that the disease itself is a complex one, because biological treatment can demonstrate its effectiveness when we discuss cysts smaller in diameter, but surgery complements this type of treatment in case of therapeutic failure or large cysts, in which the albendazole class is not effective, highlighting a relationship of interdependence.