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Hepatic Hydatidosis , Analysis Of 126 Cases | ||
| Kerbala Journal of Medicine | ||
| Article 7, Volume 1, Issue 1, 2007, Pages 150-157 PDF (0 K) | ||
| Author | ||
| Dr. Abdulhadi Jassim Tlefih | ||
| Abstract | ||
| Background: Hydatid disease ( H D) is a serious health problem in endemic areas, as in our country. It can affect any organ in the body especially the liver. Surgery is still the procedure of choice in most cases of H D, despite other methods of treatment available. Objectives : The aim of this study is to know the prevalence of hepatic hydatidosis (H H) , and to study presentation , types of treatment, surgical procedures and complications. Methodes: 126 patients with H H were treated in Hammad Shihab military hospital in 5 years period ( from July 1997 to June 2002 ) . 122 patients were treated surgically. Results: (74.6%) of patients hailed from rural area. Most of the patients were female, with male to female ratio (M : F) was 1 : 2 . ( 32.53%) of patients were between 31 and 40 years and the mean age was ( 35.46 ) years . (75.3%) of patients presented with abdominal pain or discomfort . The disease was discovered incidentally in (17.46%) . Isolated liver was involved in ( 66.7 % ). The right lobe of the liver was affected in ( 80.95 % ) . ( 67.4 % ) of cases had single hydatid cyst ( H C ) . Synchronous pulmonary hydatid cyst (P H C) occurred in (7.9%) of cases. Post operative complications ocurred in ( 3.2 % ) included (1.6%) developed recurrent hepatic hydatid cyst (H H C ) , (0.8%) had subphrenic abscess and (0.8%) experienced biliary cutaneous fistula . Conclusion: The right lobe of the liver was the commonest location of H H C . The commonest presentation was abdominal pain or discomfort. All patients with HHC should be investigated for synchronous P H C. | ||
| Keywords | ||
| Hydatidosis; Presentation; synchronous; Recurrent | ||
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