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Hydatid cyst disease (Echinococcus granulosus): experience at Asir Central Hospital

S Jastaniah1, T S Malatani, S A Abu Eshy

  • 1College of Medicine, Asir Central Hospital, Abha, Saudi Arabia.

Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
|October 30, 2009
PubMed

Insights

Hydatid cyst disease, caused by echinococcus granulosus, commonly affects the liver

Area of Science:

  • Medical Parasitology
  • Surgical Pathology

Background:

  • Hydatid cyst disease is a significant parasitic infection caused by Echinococcus granulosus.
  • Understanding the epidemiological and clinical patterns is crucial for effective management.

Purpose of the Study:

  • To analyze the clinical characteristics and treatment outcomes of hydatid cyst disease at Asir Central Hospital.
  • To evaluate the diagnostic utility of imaging and serological tests.

Main Methods:

  • Retrospective study of 43 hydatid cyst cases over six years (1988-1994).
  • Data collection included patient demographics, affected organs, diagnostic methods (CT scans, serology), and surgical interventions.
  • Surgical procedures involved cyst excision or drainage via laparotomy.

Main Results:

  • The average patient age was 41.7 years, with an equal sex distribution.
  • The right lobe of the liver was the most frequently affected organ, with most patients originating from Abha.
  • Computed tomography confirmed diagnoses, though serological tests sometimes yielded false negatives. Surgical intervention was the primary treatment.

Conclusions:

  • Hydatid cyst disease in the Asir region presents similarly to other reported cases.
  • Surgical intervention, particularly for large cysts, is the recommended first-line treatment.
  • Accurate diagnosis relies on a combination of clinical presentation, imaging, and surgical findings, acknowledging limitations of serology.

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