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Analysis of the Epithelial Damage Produced by Entamoeba histolytica Infection
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Published on: June 12, 2014

Hydatidiarrhea

Suyash Mohan1, Ashish Verma, Sanjay Saran Baijal

  • 1Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareily Road, Lucknow 226 014, India.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|January 30, 2008
PubMed

Insights

Hydatid cysts rarely rupture into the bowel. This study reports five cases of patients passing hydatid membranes in stool, highlighting a rare clinical presentation. Early surgery may prevent complications from cyst erosion into organs.

Area of Science:

  • Gastroenterology
  • Parasitology
  • Surgical Pathology

Background:

  • Hydatid cysts, caused by Echinococcus granulosus, typically affect the liver and lungs.
  • Rupture into the gastrointestinal tract is an uncommon complication.

Observation:

  • This case series details five patients who presented with the passage of hydatid membranes in their stool.
  • This presentation indicates a spontaneous or pathological rupture of an intra-abdominal hydatid cyst into the bowel lumen.

Findings:

  • The passage of hydatid membranes in stool is a rare but definitive sign of cyst communication with the bowel.
  • Diagnostic imaging may reveal the primary cyst location, but its rupture into the bowel may not always be evident preoperatively.

Implications:

  • Recognizing this rare presentation is crucial for timely diagnosis and management of hydatid disease.
  • Prompt surgical intervention is recommended to prevent further complications, such as secondary infection or anaphylaxis, and to manage the primary cyst.
  • This emphasizes the importance of considering parasitic infections in patients with unexplained gastrointestinal symptoms and passage of unusual material.

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