Surgery for intra-abdominal hydatid disease: a single centre experience

Vagholkar, Ketan; Pawanarkar, Amish; Chougle, Qurratulain; Vagholkar, Suvarna

doi:10.18203/2320-6012.ijrms20163106

Cited by 2 publications

(7 citation statements)

References 9 publications

(15 reference statements)

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“…Once the cystic cavity is evacuated of its contents, the cavity needs to be obliterated either with capitonnage or omentoplasty. 4,23,25 Although this conservative technique is deemed a safer peri-operative approach than radical surgery, it is not without complications. It is associated with a higher risk of recurrence (20-25%) compared with radical surgery (0.6-4%).…”

Section: Surgerymentioning

confidence: 99%

“…It may provide a road map regarding the accessibility to the cyst(s) and ascertain the location and depth of the cysts, especially in relation to their proximity to adjacent bile ducts. 1,2,18,25 It can also help to rule out concurrent extra-hepatic CE. 18 Magnetic resonance imaging (MRI) is deemed a superior imaging modality to CT for identifying biliary involvement and observing the internal composition of hydatid cysts.…”

Section: Diagnosismentioning

confidence: 99%

“…This involves the removal of the cyst content and sterilisation of the residual cavity, together with partial cyst resection, under albendazole cover. 3,11,25 The partial cystectomy approach uses an appropriate incision to gain access to and expose the liver cyst(s). The surgical field is protected by abdominal swabs soaked in a scolicidal agent (20% hypertonic saline).…”

Section: Surgerymentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

“…This involves the removal of the cyst content and sterilisation of the residual cavity, together with partial cyst resection, under albendazole cover. 3 , 11 , 25 …”

Section: Surgerymentioning

confidence: 99%

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Liver cystic echinococcosis: a parasitic review

Govindasamy

Bhattarai

John

2023

Therapeutic Advances in Infection

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Liver cystic echinococcosis (CE), known as hydatid disease, is caused by the tapeworm Echinococcus granulosus sensu lato. Humans are accidental hosts in this zoonotic disease process, and hepatic infection accounts for over two-thirds of all cases. Since signs and symptoms are mainly non-specific, especially in early disease, clinicians should have a low threshold to include CE as a differential diagnosis in patients with positive serology and suggestive radiological findings, especially in endemic regions. The standard management for liver CE depends on the patient’s symptoms, the radiological stage, the size and location of the cyst, the presence of complications and the treating clinicians’ expertise. In this review, we discuss the lifecycle of Echinococcus granulosus sensu lato and its epidemiology and then focus on discussing the clinical features, diagnosis and treatment options of CE of the liver.

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Section: Surgerymentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Surgerymentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%

“…This involves the removal of the cyst content and sterilisation of the residual cavity, together with partial cyst resection, under albendazole cover. 3 , 11 , 25 …”

Section: Surgerymentioning

confidence: 99%

See 3 more Smart Citations

Liver cystic echinococcosis: a parasitic review

Govindasamy

Bhattarai

John

2023

Therapeutic Advances in Infection

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Liver cystic echinococcosis: A retrospective study on the demographics and clinical profile of patients managed at a single tertiary institution in central Eastern Cape Province, South Africa

Govindasamy,

Bhattarai,

Van Niekerk

et al. 2024

S Afr Med J

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Background. Cystic echinococcosis (CE) is a zoonotic disease with an Africa-wide prevalence of 1.7%. CE is caused by the tapeworm Echinococcus granulosus sensu lato, with the liver being the most commonly affected organ. In South Africa (SA), there is a paucity of data on liver CE demographics and management. Objectives. To describe the demographics and clinical profile of patients with liver CE in a single tertiary hospital in Eastern Cape Province, SA. Methods. A 4-year (2019 - 2022) retrospective clinical record review study was conducted on patients presenting with liver CE to the Department of Surgery at Frere Hospital. The demographics, clinical characteristics and management of patients with liver CE are reported. Results. A total of 56 patients diagnosed with and managed for liver CE were included in the study. The mean age of the patients was 37.5 years. Abdominal pain (n=39; 69.6%) was the most common presenting symptom, and a palpable abdominal mass (n=36; 64.3%) was the predominant presenting sign. Most patients had disease confined to the liver (n=35; 62.5%). The right lobe of the liver was most commonly affected (n=38; 67.9%), and most patients had a single liver cyst on imaging (n=32; 57.1%). The majority of the patients (n=36; 64.3%) were managed with surgical partial cystectomy, with a perioperative bile leak being the most common complication. Conclusion. In our setting, liver CE contributes to a significant local burden of the disease. The disease often has a nonspecific clinical presentation, necessitating imaging for the diagnosis. We observed good short-term outcomes in patients managed with combined partial cystectomy and medical therapy, although there is a risk of perioperative bile leak.

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Surgery for intra-abdominal hydatid disease: a single centre experience

Cited by 2 publications

References 9 publications

Liver cystic echinococcosis: a parasitic review

Liver cystic echinococcosis: a parasitic review

Liver cystic echinococcosis: A retrospective study on the demographics and clinical profile of patients managed at a single tertiary institution in central Eastern Cape Province, South Africa

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