Study of Clinical Spectrum and Management of Hydatid Disease- A 7 Years’ Prospective Study

Abstract

Introduction: Hydatid disease is a zoonotic disease caused by the tapeworm of genus Echinococcus species and is one of the oldest known diseases to man. The primary management involves surgical removal. We conducted this prospective cohort study to describe the epidemiology (demography, clinical presentation, imaging characteristics, management and in-hospital course) of Cystic Echinococcosis (CE) in central India. Material and Methods: The study was approved by institutional ethical committee and was conducted in the department of general surgery at a tertiary care medical college situated in an urban area. A Total of 148 Patients diagnosed with hydatid disease were included in this study on the basis of predefined inclusion criteria. Any patient having any exclusion criteria was excluded from the study. The diagnosis was confirmed on the basis of imaging findings. Patients were treated primarily by surgery (Open or laparoscopic depending upon the location and size). Statistical analysis was done with Minitab version 17. Results: Out of total 148 patients there were 46 males and 102 females with a M: F ratio of 1:2.21. Majority of the patients (55.40%) were operated by endoscopic techniques while open surgeries were done in 44.60% patients. Amongst the surgeries done for hepatic hydatid cysts laparoscopic and open surgeries were done in 70 (70%) and 30 (30%) patients respectively with 11% conversion rate. Out of the patients with lung hydatids 70% were operated by thoracotomy while 30% were operated with VATS With 20% conversion. Splenectomy was done in 85.71%, and cystectomy in 14.29% of splenic hydatid patients. Conclusions: Management of the hydatid cyst can safely be done by laparoscopic surgery and VATS with acceptable complication rates.

Primary pelvic hydatid cyst in an infertile female, A case report

“…Sudden trauma/pressure can rupture cysts and Hydatid fluid can release and cause symptoms such as fever or syncope due to anaphylactic reactions. 9 Routine laboratory tests are usually normal except in cases of renal failure. Several serological tests are available but they mostly are used in epidemiological data, clinical features, and especially imaging investigations.…”

“…Pelvic hydatidosis could be primary or frequently secondary to the liver cysts or rarely in spleen. Sudden trauma/pressure can rupture cysts and Hydatid fluid can release and cause symptoms such as fever or syncope due to anaphylactic reactions 9 . Routine laboratory tests are usually normal except in cases of renal failure.…”