Different presentations of hydatid cyst and its management – A prospective and observational study in a tertiary care hospital in Kolkata

Authors

DOI:

https://doi.org/10.3126/ajms.v14i2.48486

Keywords:

Cystic echinococcosis; Echinococcus granulosus; Surgical techniques

Abstract

Background: Hydatid disease of liver is quite common disease in Eastern India, though not very frequently reported. The diagnosis of hydatid cyst is often difficult because of its initial modes of presentation.

Aims and Objectives: The objectives of the present study were to evaluate the different clinical presentation, surgical management options, and complications if any after operation in a tertiary care center.

Materials and Methods: This prospective study was conducted with 30 patients (Male 17 and Female 13 with a mean age of 41.23 years) who were diagnosed of having hydatid cyst of liver.

Results: The presenting symptoms that were found pain abdomen (22 cases), abdominal lump/mass (16 cases), cholangitis (five cases), jaundice (two cases), constitutional (anorexia, nausea, and malaise two cases), and fever (18 cases). Deroofing and omentoplasty and wound drainage (12 cases), partial pericystectomy (nine cases), pericystic-cystectomy (six cases), marsupialization (two cases), and one case was managed nonoperatively. Post-operative complications were – biliary fistula (two cases), post-operative cholangitis (two cases), surgical site infections (two cases), and retained cyst (one case).

Conclusion: A high index of suspicion is always recommended when an adult patient comes with pain abdomen and abdominal mass. Different surgical methods, for example, deroofing and omentoplasty with wound drainage, partial pericystectomy, and pericystic-cystectomy can be applied. To establish the definite surgical management, many more randomized and controlled studies are needed.

Downloads

Download data is not yet available.
Abstract
55
PDF
105

Downloads

Published

2023-02-01

How to Cite

Amit Kumar Samanta, Arup Jyoti Rout, Eashin Gazi, & Tushar Kanti Saha. (2023). Different presentations of hydatid cyst and its management – A prospective and observational study in a tertiary care hospital in Kolkata. Asian Journal of Medical Sciences, 14(2), 107–111. https://doi.org/10.3126/ajms.v14i2.48486

Issue

Vol. 14 No. 2 (2023)

Section

Original Articles

License

Copyright (c) 2022 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).