Hydatid disease: a 2 years retrospective study in a tertiary care center in South India

Authors

  • Haren Reddy Illuri Department of Surgery, Father Muller Medical College, Mangalore, Karnataka, India
  • Caren D. Souza Department of Surgery, Father Muller Medical College, Mangalore, Karnataka, India
  • Erel A. I. Dias Department of Surgery, Father Muller Medical College, Mangalore, Karnataka, India
  • Prashanth Philip Das Department of Surgery, Father Muller Medical College, Mangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20180361

Keywords:

Echinococcosis, Extrahepatic hydatid, Hydatid disease, PAIR, Scolicidal agent, Zoonosis

Abstract

Background: Hydatid disease (HD) is a common parasitic zoonosis and its mortality, morbidity, and socioeconomic burden makes it a significant public health problem. Though a primary disease of liver (55-70%) followed by the lung (18-35%) it is now found to affect various other organs like spleen, kidney, peritoneal cavity, skin and muscles (2%) heart, brain, vertebral column, ovaries, pancreas, gallbladder, thyroid gland, breast, and bones (1%). This study is done to describe the spectrum of presentation of hydatid disease in India. Author also discuss the rare cases of soft tissue and bone hydatid disease and peritoneal hydatid disease in this study.

Methods: It was a retrospective observational study done in a tertiary care center in India. Data was collected from patients admitted with diagnosis of hydatid disease from the patient data files and included patient profile, area of residence, occupation, history of exposure to farm animals or dogs, investigation findings and management given. Special emphasis was given to cases of extrahepatic hydatid disease and their management. The collected data was tabulated.

Results: Author found 17 cases of documented hydatid disease in the two years period. This included 11 case of hepatic hydatid disease and 6 cases of extrahepatic disease with unusual locations of bone and soft tissue, lung and parietal peritoneum. The majority of patients were in the age group of 30-50 yrs with history of exposure to sheep and farm animals. All patients received 4-6 weeks of 15mg/kg/day albendazole preoperatively. Five patients showed regression in size of the cyst and were hence continued on medical management.

Conclusions: The remaining patients underwent surgical drainage procedure. Albendazole was continued post operatively for next 6 months.

References

Leitão P, Carvalho A, Fernandes T, Gonçalves J. Cystic Echinococcosis: A Case of Extrahepatic Intra-Abdominal Involvement. Case reports in radiology. 2017 Jan 17;2017.

Kamble MA, Thawait AP, Kamble AT. Hydatid cyst in the past and the present. Journal of Evolution of Medical and Dental Sciences. 2014;3(18):4886-902.

Venukumar R. Clinical presentation of hydatid cyst of liver: descriptive study. Int Surg J. 2017; 4(1):214-6.

Duman K, Girgin M, Hamcan S. Uncomplicated Hydatid Cysts of the Liver: Clinical Presentation, Diagnosis and Treatment. J Gastrointest Dig Syst. 2016;6(430):2.

Sachar S, Goyal S, Sangwan S. Uncommon locations and presentations of hydatid cyst. Ann Med Health Sci Res. 2014;4(3):447-52.

Gole S, Gole G, Satyanarayana V. Unusual presentation of hydatid cyst: A case series with review of literature. The Internet Journal of Parasitic Diseases. 2013;6(1).

Kullolli GK, Vaidya MK, Patil R. Unusual Presentations of Hydatid Cyst-A Case Study. International Journal of Scientific Study. 2017 Apr 1;5(1):218-22.

Talpur AA, Shaikh AA, Arain MI, Siddiqui AJ. Experience with Extra Hepatic Intra Abdominal Hydatid Cyst. Journal of Nepal Medical Association. 2016 Oct 7;53(200):270-4.

Alzobydi AH, Guray SY, Guraya SS. Primary extrahepatic hydatid cyst of the soft tissue: a case report. 2012.

Mohan SV, Shashidhara TM, Kumar BS. Hydatid cyst-surgical management. Journal of Evolution of Medical and Dental Sciences. 2013;2(31):5903-9.

Gourgiotis S, Stratopoulos C, Moustafellos P, Dimopoulos N, Papaxoinis G, Vougas V, et al. Surgical techniques and treatment for hepatic hydatid cysts. Surgery Today. 2007;37(5):389-95.

Downloads

Published

2018-01-25

Issue

Section

Original Research Articles