Background: The purpose of this study is to analyse the sociodemographic factors & clinical features of hydatid disease of liver and to emphasize on the safety, efficacy and the role of laparoscopy in its management in the present scenario. Methods: A prospective observational study was done for 35 patients who were diagnosed with and later underwent surgical intervention laparoscopically for hydatid disease of liver over a duration of 3 years from January 2017 to December 2019. Diagnosis was based on the history, clinical examination, ultrasonography of abdomen (USG) and contrast enhanced computed tomography scan of abdomen (CECT).Results: A slight female preponderance with most cases in the 4th decade of life and belonging to rural areas and low socio-economic status. A single cyst in the right lobe of the liver was most common lesion. The most common surgery performed was laparoscopic de-roofing of the cyst with omentoplasty. The most common complication was intra-operative spillage of cyst contents followed by post-operative biliary leak. Conclusions: In the present era laparoscopic surgery is safe, efficacious and plays a crucial role in the management of hepatic hydatid disease with its proven benefits over the conventional surgeries including less morbidity and mortality and reduced rate of recurrence.
Retroperitoneal tumour which can be benign or malignant is a rare entity (of which vascular neoplasms are extremely rare) with late clinical presentation, most often diagnosed in advanced stage of the disease. The complex anatomical location in the retroperitoneum, its inaccessibility and close relation to important structures in the retroperitoneal space pose a greater challenge in the diagnosis and the management of the disease. Here we are presenting a case of retroperitoneal tumour which presented with lump in abdomen since 10 years. Biopsy of the lump was suggestive of benign lesion. Complete surgical excision of the tumour was done and on final histopathology was suggestive of benign vascular neoplasm consistent with venous/cavernous hemangioma. Regular follow-up is uneventful.
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