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Transient Transduction of the Strobilated Forms of Echinococcus granulosus
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Experience with Extra Hepatic Intra Abdominal Hydatid Cyst.

A A Talpur1, A A Shaikh1, M I Arain2

  • 1Department of Surgery, Liaquat University of Medical and Health Sciences Jamshoro, Sind, Pakistan.

JNMA; Journal of the Nepal Medical Association
|October 18, 2016
PubMed
Summary

Extrahepatic intra-abdominal hydatid disease is rare and presents diagnostic and surgical challenges. This study evaluated its frequency, diagnosis, and treatment in 11 patients, highlighting common symptoms and surgical outcomes.

Keywords:
extra hepatic; hydatid disease; intra abdominal.

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Area of Science:

  • Abdominal Surgery
  • Parasitology
  • Medical Imaging

Background:

  • Hydatid disease, a parasitic infection, commonly affects the liver but can occur in extrahepatic intra-abdominal sites, which is rare.
  • Diagnosis typically relies on serological tests and imaging modalities.
  • Surgical intervention remains the primary treatment for hydatid disease.

Purpose of the Study:

  • To determine the frequency of extrahepatic intra-abdominal hydatid disease.
  • To evaluate diagnostic methods for this rare condition.
  • To assess surgical treatment strategies and outcomes for extrahepatic intra-abdominal hydatid disease.

Main Methods:

  • Retrospective analysis of 11 patients aged over 13 years who underwent surgery for extrahepatic intra-abdominal hydatid disease between 2009 and 2014.
  • Data collected included patient demographics, clinical presentation, diagnostic investigations (Ultrasound, CT scan), operative findings, surgical procedures, and postoperative complications.

Main Results:

  • Eleven patients (7 male, 4 female; mean age 37.54 years) were identified.
  • Abdominal mass and dull pain were the most common symptoms.
  • Hydatid cysts were found in the spleen, epigastrium, beneath the diaphragm, and pelvis, with concurrent liver hydatid disease in 7 patients.
  • Surgical procedures included liver cyst management, splenectomy, and complete excision of other cysts. Postoperative complications occurred in 45.4% of patients.

Conclusions:

  • Extrahepatic intra-abdominal hydatid disease is an infrequent condition posing significant diagnostic and therapeutic challenges.
  • Multimodality imaging and tailored surgical approaches are crucial for managing this rare entity.
  • Further research is needed to optimize diagnostic and treatment protocols.